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1346299492 NPI number — LAURIE A B BIRKHOLZ MD

NPI Number: 1346299492
Health Care Provider/Practitioner: LAURIE A B BIRKHOLZ MD

Information about “1346299492” NPI (LAURIE A B BIRKHOLZ MD) exists in 1346299492 in HTML format HTML  |  1346299492 in plain Text format TXT  |  1346299492 in PDF (Portable Document Format) PDF  |  1346299492 in an XML format XML  formats.

NPI Number : 1346299492 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346299492",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BIRKHOLZ",
    "FirstName": "LAURIE",
    "MiddleName": "A B",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BAILEY",
    "OtherFirstName": "LAURIE",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "11971 JAMES ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOLLAND",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49424-9610",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "616-345-5263",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11971 JAMES ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOLLAND",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49424-9610",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "616-345-5263",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/08/2006",
    "LastUpdateDate": "05/11/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "4301099907",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "47700",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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