NPI Code Detail JSON Logo

1376323147 NPI number — ZYON JUSTICE CLEVERLEY D.C.

NPI Number: 1376323147
Health Care Provider/Practitioner: ZYON JUSTICE CLEVERLEY D.C.

Information about “1376323147” NPI (ZYON JUSTICE CLEVERLEY D.C.) exists in 1376323147 in HTML format HTML  |  1376323147 in plain Text format TXT  |  1376323147 in PDF (Portable Document Format) PDF  |  1376323147 in an XML format XML  formats.

NPI Number : 1376323147 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376323147",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CLEVERLEY",
    "FirstName": "ZYON",
    "MiddleName": "JUSTICE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4242 N 1509 E",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BUHL",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83316-5822",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-751-3647",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "800 MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BUHL",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83316-1236",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-751-3647",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/29/2023",
    "LastUpdateDate": "09/29/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "CHIA-2375",
        "LicenseNumberStateCode": "ID",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.