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1376364828 NPI number — JANE D HOLMQUIST CMT

NPI Number: 1376364828
Health Care Provider/Practitioner: JANE D HOLMQUIST CMT

Information about “1376364828” NPI (JANE D HOLMQUIST CMT) exists in 1376364828 in HTML format HTML  |  1376364828 in plain Text format TXT  |  1376364828 in PDF (Portable Document Format) PDF  |  1376364828 in an XML format XML  formats.

NPI Number : 1376364828 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376364828",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOLMQUIST",
    "FirstName": "JANE",
    "MiddleName": "D",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CMT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HEIMBICHNER",
    "OtherFirstName": "JANE",
    "OtherMiddleName": "D",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CMT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4177 STOWE WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SACRAMENTO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95864-6057",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "916-759-0597",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3000 ARDEN WAY STE 1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SACRAMENTO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95825-2000",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "916-488-5560",
    "PracticeLocationAddressFaxNumber": "916-488-5597",
    "EnumerationDate": "10/17/2024",
    "LastUpdateDate": "10/17/2024",
    "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": "225700000X",
        "TaxonomyName": "Massage Therapist",
        "LicenseNumber": "97598",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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