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1770703837 NPI number — ROSENGREN CHIROPRACTIC & ACUPUNCTURE LLC

NPI Number: 1770703837
Health Care Provider/Practitioner: ROSENGREN CHIROPRACTIC & ACUPUNCTURE LLC

Information about “1770703837” NPI (ROSENGREN CHIROPRACTIC & ACUPUNCTURE LLC) exists in 1770703837 in HTML format HTML  |  1770703837 in plain Text format TXT  |  1770703837 in PDF (Portable Document Format) PDF  |  1770703837 in an XML format XML  formats.

NPI Number : 1770703837 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770703837",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ROSENGREN CHIROPRACTIC & ACUPUNCTURE LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "310 GARFIELD STREET",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANTA FE",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "87501",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-983-1513",
    "MailingAddressFaxNumber": "505-983-2215",
    "FirstLinePracticeLocationAddress": "310 GARFIELD STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA FE",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87501",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "505-983-1513",
    "PracticeLocationAddressFaxNumber": "505-983-2215",
    "EnumerationDate": "04/30/2007",
    "LastUpdateDate": "04/17/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ROSENGREN",
    "AuthorizedOfficialFirstName": "DAVID",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.C., DOM",
    "AuthorizedOfficialTelephoneNumber": "505-983-1513",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "178 ACUPUNCTURE",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "807 CHIROPACTIC",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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