NPI Code Detail JSON Logo

1467733634 NPI number — MEGAN ELAINE SEWELL LAC

NPI Number: 1467733634
Health Care Provider/Practitioner: MEGAN ELAINE SEWELL LAC

Information about “1467733634” NPI (MEGAN ELAINE SEWELL LAC) exists in 1467733634 in HTML format HTML  |  1467733634 in plain Text format TXT  |  1467733634 in PDF (Portable Document Format) PDF  |  1467733634 in an XML format XML  formats.

NPI Number : 1467733634 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467733634",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SEWELL",
    "FirstName": "MEGAN",
    "MiddleName": "ELAINE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LAC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2258 E FORT UNION BLVD",
    "SecondLineMailingAddress": "#36",
    "MailingAddressCityName": "COTTONWOOD HEIGHTS",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84121",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "801-849-8312",
    "MailingAddressFaxNumber": "206-374-8202",
    "FirstLinePracticeLocationAddress": "2258 E FORT UNION BLVD",
    "SecondLinePracticeLocationAddress": "#36",
    "PracticeLocationAddressCityName": "COTTONWOOD HEIGHTS",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84121",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "801-849-8312",
    "PracticeLocationAddressFaxNumber": "206-374-8202",
    "EnumerationDate": "09/01/2011",
    "LastUpdateDate": "11/09/2022",
    "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": "AC 60204424",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "10964315-1201",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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