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1467484634 NPI number — GREG JOHN PEROFF D.C.

NPI Number: 1467484634
Health Care Provider/Practitioner: GREG JOHN PEROFF D.C.

Information about “1467484634” NPI (GREG JOHN PEROFF D.C.) exists in 1467484634 in HTML format HTML  |  1467484634 in plain Text format TXT  |  1467484634 in PDF (Portable Document Format) PDF  |  1467484634 in an XML format XML  formats.

NPI Number : 1467484634 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467484634",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PEROFF",
    "FirstName": "GREG",
    "MiddleName": "JOHN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7320 ERNST RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MANCHESTER",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48158-9549",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "734-428-0165",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4347 JACKSON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ANN ARBOR",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48103-1831",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "734-662-4000",
    "PracticeLocationAddressFaxNumber": "734-662-2182",
    "EnumerationDate": "07/07/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "GP008365",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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