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1518999879 NPI number — JENNIFER MARTIN D.C.

NPI Number: 1518999879
Health Care Provider/Practitioner: JENNIFER MARTIN D.C.

Information about “1518999879” NPI (JENNIFER MARTIN D.C.) exists in 1518999879 in HTML format HTML  |  1518999879 in plain Text format TXT  |  1518999879 in PDF (Portable Document Format) PDF  |  1518999879 in an XML format XML  formats.

NPI Number : 1518999879 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518999879",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARTIN",
    "FirstName": "JENNIFER",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1395 TRIAD CENTER DR, SUITE 1",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT PETERS",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63376-7352",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "636-443-3476",
    "MailingAddressFaxNumber": "618-654-6072",
    "FirstLinePracticeLocationAddress": "1395 TRIAD CENTER DR, SUITE 1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAINT PETERS",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63376-7352",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "636-443-3476",
    "PracticeLocationAddressFaxNumber": "618-654-6072",
    "EnumerationDate": "07/07/2006",
    "LastUpdateDate": "10/20/2015",
    "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": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "2005039232",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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