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1811661978 NPI number — STEPHANIE ANDERSON D.C

NPI Number: 1811661978
Health Care Provider/Practitioner: STEPHANIE ANDERSON D.C

Information about “1811661978” NPI (STEPHANIE ANDERSON D.C) exists in 1811661978 in HTML format HTML  |  1811661978 in plain Text format TXT  |  1811661978 in PDF (Portable Document Format) PDF  |  1811661978 in an XML format XML  formats.

NPI Number : 1811661978 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811661978",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANDERSON",
    "FirstName": "STEPHANIE",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ZELLAR",
    "OtherFirstName": "STEPHANIE",
    "OtherMiddleName": "L",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "861 GLEN HAVEN CIR APT 2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PETOSKEY",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49770-2896",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "906-286-0163",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "421 STIMPSON DR UNIT 104",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PELLSTON",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49769-8800",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "906-286-0163",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/03/2021",
    "LastUpdateDate": "10/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "5749-12",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "2301011138",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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