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1811283245 NPI number — MR. ROY DENNIS GRIEWISCH

NPI Number: 1811283245
Health Care Provider/Practitioner: MR. ROY DENNIS GRIEWISCH

Information about “1811283245” NPI (MR. ROY DENNIS GRIEWISCH) exists in 1811283245 in HTML format HTML  |  1811283245 in plain Text format TXT  |  1811283245 in PDF (Portable Document Format) PDF  |  1811283245 in an XML format XML  formats.

NPI Number : 1811283245 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811283245",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GRIEWISCH",
    "FirstName": "ROY",
    "MiddleName": "DENNIS",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GRIEWISCH",
    "OtherFirstName": "CHRIS",
    "OtherMiddleName": "CHARLES",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "9580 NIMS LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PENSACOLA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32534-1302",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-479-1766",
    "MailingAddressFaxNumber": "850-479-1768",
    "FirstLinePracticeLocationAddress": "9580 NIMS LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PENSACOLA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32534-1302",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-479-1766",
    "PracticeLocationAddressFaxNumber": "850-479-1768",
    "EnumerationDate": "06/23/2011",
    "LastUpdateDate": "06/23/2011",
    "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": "171WH0202X",
          "TaxonomyName": "Home Modifications Contractor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171WV0202X",
          "TaxonomyName": "Vehicle Modifications Contractor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BC3200X",
          "TaxonomyName": "Customized Equipment (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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