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1467713974 NPI number — JENNIE L LUBER M.S.O.M., L.AC.

NPI Number: 1467713974
Health Care Provider/Practitioner: JENNIE L LUBER M.S.O.M., L.AC.

Information about “1467713974” NPI (JENNIE L LUBER M.S.O.M., L.AC.) exists in 1467713974 in HTML format HTML  |  1467713974 in plain Text format TXT  |  1467713974 in PDF (Portable Document Format) PDF  |  1467713974 in an XML format XML  formats.

NPI Number : 1467713974 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467713974",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LUBER",
    "FirstName": "JENNIE",
    "MiddleName": "L",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "M.S.O.M., L.AC.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2928 COUNTY N",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RHINELANDER",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54501-8410",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "715-360-5708",
    "MailingAddressFaxNumber": "888-817-5972",
    "FirstLinePracticeLocationAddress": "2928 COUNTY N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RHINELANDER",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54501-8410",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "715-360-5708",
    "PracticeLocationAddressFaxNumber": "888-817-5972",
    "EnumerationDate": "05/31/2012",
    "LastUpdateDate": "02/26/2021",
    "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": "171100000X",
        "TaxonomyName": "Acupuncturist",
        "LicenseNumber": "657-055",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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