NPI Code Detail JSON Logo

1477733467 NPI number — VICTORINO D CHIN MD (DBA HOLY FAMILY HEALTH CLINIC)

NPI Number: 1477733467
Health Care Provider/Practitioner: VICTORINO D CHIN MD (DBA HOLY FAMILY HEALTH CLINIC)

Information about “1477733467” NPI (VICTORINO D CHIN MD (DBA HOLY FAMILY HEALTH CLINIC)) exists in 1477733467 in HTML format HTML  |  1477733467 in plain Text format TXT  |  1477733467 in PDF (Portable Document Format) PDF  |  1477733467 in an XML format XML  formats.

NPI Number : 1477733467 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477733467",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "VICTORINO D CHIN MD (DBA HOLY FAMILY HEALTH CLINIC)",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX N",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MOUNDSVILLE",
    "MailingAddressStateName": "WV",
    "MailingAddressPostalCode": "26041-0964",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "304-845-1460",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1110 2ND ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MOUNDSVILLE",
    "PracticeLocationAddressStateName": "WV",
    "PracticeLocationAddressPostalCode": "26041-1451",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "304-845-1460",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/07/2007",
    "LastUpdateDate": "07/09/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CHIN",
    "AuthorizedOfficialFirstName": "VICTORINO",
    "AuthorizedOfficialMiddleName": "D.",
    "AuthorizedOfficialTitle": "MEDICAL DOCTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "304-845-1460",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "10205",
          "LicenseNumberStateCode": "WV",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "35035509C",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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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