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1588996839 NPI number — ERIC BRANDON ROOD D.C.

NPI Number: 1588996839
Health Care Provider/Practitioner: ERIC BRANDON ROOD D.C.

Information about “1588996839” NPI (ERIC BRANDON ROOD D.C.) exists in 1588996839 in HTML format HTML  |  1588996839 in plain Text format TXT  |  1588996839 in PDF (Portable Document Format) PDF  |  1588996839 in an XML format XML  formats.

NPI Number : 1588996839 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588996839",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROOD",
    "FirstName": "ERIC",
    "MiddleName": "BRANDON",
    "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": "337 HIGH SCHOOL RD",
    "SecondLineMailingAddress": "SUITES 1&3",
    "MailingAddressCityName": "MONTROSE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "18801",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "520-278-0362",
    "MailingAddressFaxNumber": "570-278-9139",
    "FirstLinePracticeLocationAddress": "337 HIGH SCHOOL RD",
    "SecondLinePracticeLocationAddress": "SUITES 1&3",
    "PracticeLocationAddressCityName": "MONTROSE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "18801",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "570-278-0362",
    "PracticeLocationAddressFaxNumber": "570-278-9139",
    "EnumerationDate": "02/10/2010",
    "LastUpdateDate": "03/23/2015",
    "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": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "DC010571",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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