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1487472056 NPI number — WHC MKE, LLC

NPI Number: 1487472056
Health Care Provider/Practitioner: WHC MKE, LLC

Information about “1487472056” NPI (WHC MKE, LLC) exists in 1487472056 in HTML format HTML  |  1487472056 in plain Text format TXT  |  1487472056 in PDF (Portable Document Format) PDF  |  1487472056 in an XML format XML  formats.

NPI Number : 1487472056 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487472056",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WHC MKE, LLC",
    "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": "646 S 2ND ST STE 300",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MILWAUKEE",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53204-1637",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "414-223-4030",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "646 S 2ND ST STE 300",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILWAUKEE",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53204-1637",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "414-223-4030",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/01/2024",
    "LastUpdateDate": "10/02/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MARSH",
    "AuthorizedOfficialFirstName": "JACOB",
    "AuthorizedOfficialMiddleName": "D.",
    "AuthorizedOfficialTitle": "VICE PRESIDENT OF OPERATIONS",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "414-260-2118",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "343800000X",
          "TaxonomyName": "Secured Medical Transport (VAN)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "343900000X",
          "TaxonomyName": "Non-emergency Medical Transport (VAN)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "344600000X",
          "TaxonomyName": "Taxi",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "347E00000X",
          "TaxonomyName": "Transportation Broker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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