NPI Code Detail JSON Logo

1821817032 NPI number — BEN WHEELER FAMILY CLINIC LLC

NPI Number: 1821817032
Health Care Provider/Practitioner: BEN WHEELER FAMILY CLINIC LLC

Information about “1821817032” NPI (BEN WHEELER FAMILY CLINIC LLC) exists in 1821817032 in HTML format HTML  |  1821817032 in plain Text format TXT  |  1821817032 in PDF (Portable Document Format) PDF  |  1821817032 in an XML format XML  formats.

NPI Number : 1821817032 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821817032",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BEN WHEELER FAMILY CLINIC 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": "11735 FM 773",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BEN WHEELER",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75754-6400",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "715-781-5358",
    "MailingAddressFaxNumber": "877-264-8834",
    "FirstLinePracticeLocationAddress": "11735 FM 773",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BEN WHEELER",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75754-6400",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "715-781-5358",
    "PracticeLocationAddressFaxNumber": "877-264-8834",
    "EnumerationDate": "10/04/2024",
    "LastUpdateDate": "10/04/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DEISS",
    "AuthorizedOfficialFirstName": "EMILY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER/FNP",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "FNP",
    "AuthorizedOfficialTelephoneNumber": "715-781-5358",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X 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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