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1417105883 NPI number — ATLAS CHIROPRACTIC, INC

NPI Number: 1417105883
Health Care Provider/Practitioner: ATLAS CHIROPRACTIC, INC

Information about “1417105883” NPI (ATLAS CHIROPRACTIC, INC) exists in 1417105883 in HTML format HTML  |  1417105883 in plain Text format TXT  |  1417105883 in PDF (Portable Document Format) PDF  |  1417105883 in an XML format XML  formats.

NPI Number : 1417105883 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417105883",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ATLAS CHIROPRACTIC, INC",
    "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": "211 HIGHWAY 43 S",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SARALAND",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "36571-2808",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "251-679-1996",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "211 HIGHWAY 43 S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SARALAND",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "36571-2808",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "251-679-1996",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/28/2008",
    "LastUpdateDate": "08/28/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BURROUGHS",
    "AuthorizedOfficialFirstName": "GEORGE",
    "AuthorizedOfficialMiddleName": "H",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.C.",
    "AuthorizedOfficialTelephoneNumber": "251-679-1996",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "1259",
        "LicenseNumberStateCode": "AL",
        "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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