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1811319973 NPI number — HOLLEY CHIROPRACTIC, LLC

NPI Number: 1811319973
Health Care Provider/Practitioner: HOLLEY CHIROPRACTIC, LLC

Information about “1811319973” NPI (HOLLEY CHIROPRACTIC, LLC) exists in 1811319973 in HTML format HTML  |  1811319973 in plain Text format TXT  |  1811319973 in PDF (Portable Document Format) PDF  |  1811319973 in an XML format XML  formats.

NPI Number : 1811319973 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811319973",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HOLLEY CHIROPRACTIC, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "501 E WASHINGTON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MILLERSBURG",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46543-7711",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "574-642-0233",
    "MailingAddressFaxNumber": "574-642-0230",
    "FirstLinePracticeLocationAddress": "501 E WASHINGTON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILLERSBURG",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46543-7711",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "574-642-0233",
    "PracticeLocationAddressFaxNumber": "574-642-0230",
    "EnumerationDate": "01/09/2014",
    "LastUpdateDate": "01/09/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HOLLEY",
    "AuthorizedOfficialFirstName": "MEGAN",
    "AuthorizedOfficialMiddleName": "LEE",
    "AuthorizedOfficialTitle": "OWNER/ DOCTOR OF CHIROPRACTIC",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DC",
    "AuthorizedOfficialTelephoneNumber": "574-642-0233",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "1447543541",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "1811993009",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "1063705192",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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