NPI Code Detail JSON Logo

1588391627 NPI number — PAUL BOUSCHET JR.

NPI Number: 1588391627
Health Care Provider/Practitioner: PAUL BOUSCHET JR.

Information about “1588391627” NPI (PAUL BOUSCHET JR.) exists in 1588391627 in HTML format HTML  |  1588391627 in plain Text format TXT  |  1588391627 in PDF (Portable Document Format) PDF  |  1588391627 in an XML format XML  formats.

NPI Number : 1588391627 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588391627",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOUSCHET",
    "FirstName": "PAUL",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": "JR.",
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8623 N WAYNE RD STE 123",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WESTLAND",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48185-1137",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "734-678-0469",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8623 N WAYNE RD # 367-0469",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WESTLAND",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48185-1137",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "734-367-0469",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/08/2022",
    "LastUpdateDate": "08/08/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "6451022418",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.