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1639362908 NPI number — DAVID MATTHEW HARTWIG R.PH/

NPI Number: 1639362908
Health Care Provider/Practitioner: DAVID MATTHEW HARTWIG R.PH/

Information about “1639362908” NPI (DAVID MATTHEW HARTWIG R.PH/) exists in 1639362908 in HTML format HTML  |  1639362908 in plain Text format TXT  |  1639362908 in PDF (Portable Document Format) PDF  |  1639362908 in an XML format XML  formats.

NPI Number : 1639362908 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639362908",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HARTWIG",
    "FirstName": "DAVID",
    "MiddleName": "MATTHEW",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "R.PH/",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1000 N JESSE JAMES RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EXCELSIOR SPRINGS",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "64024-1244",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "660-815-0087",
    "MailingAddressFaxNumber": "816-637-5701",
    "FirstLinePracticeLocationAddress": "1000 N JESSE JAMES RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EXCELSIOR SPRINGS",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "64024-1244",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "660-815-0087",
    "PracticeLocationAddressFaxNumber": "816-637-5701",
    "EnumerationDate": "08/21/2007",
    "LastUpdateDate": "08/21/2007",
    "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": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "043451",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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