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1396912002 NPI number — WOUND CARE OPTIONS LLC

NPI Number: 1396912002
Health Care Provider/Practitioner: WOUND CARE OPTIONS LLC

Information about “1396912002” NPI (WOUND CARE OPTIONS LLC) exists in 1396912002 in HTML format HTML  |  1396912002 in plain Text format TXT  |  1396912002 in PDF (Portable Document Format) PDF  |  1396912002 in an XML format XML  formats.

NPI Number : 1396912002 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396912002",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WOUND CARE OPTIONS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "256 W ROSZELL DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NINEVEH",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46164-9044",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-294-5942",
    "MailingAddressFaxNumber": "317-933-9125",
    "FirstLinePracticeLocationAddress": "256 W ROSZELL DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NINEVEH",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46164-9044",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-294-5942",
    "PracticeLocationAddressFaxNumber": "317-933-9125",
    "EnumerationDate": "05/12/2008",
    "LastUpdateDate": "05/12/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "EHRINGER",
    "AuthorizedOfficialFirstName": "LINDA",
    "AuthorizedOfficialMiddleName": "C",
    "AuthorizedOfficialTitle": "NURSE PRACTITIONER/OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "FNP-BC",
    "AuthorizedOfficialTelephoneNumber": "317-294-5942",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "314000000X",
        "TaxonomyName": "Skilled Nursing Facility",
        "LicenseNumber": "71001112A",
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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