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1548638174 NPI number — ALYSSA MARIE ENGSTROM D.C.

NPI Number: 1548638174
Health Care Provider/Practitioner: ALYSSA MARIE ENGSTROM D.C.

Information about “1548638174” NPI (ALYSSA MARIE ENGSTROM D.C.) exists in 1548638174 in HTML format HTML  |  1548638174 in plain Text format TXT  |  1548638174 in PDF (Portable Document Format) PDF  |  1548638174 in an XML format XML  formats.

NPI Number : 1548638174 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548638174",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ENGSTROM",
    "FirstName": "ALYSSA",
    "MiddleName": "MARIE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ZEGLEN",
    "OtherFirstName": "ALYSSA",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "39802 VILLAGE WOOD CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NOVI",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48375",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-719-1254",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "39802 VILLAGE WOOD CIR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NOVI",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48375",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-719-1254",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/14/2015",
    "LastUpdateDate": "05/14/2021",
    "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": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "2301010205",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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