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1831377241 NPI number — HEATHER ANNA OSTERBRINK M.D.

NPI Number: 1831377241
Health Care Provider/Practitioner: HEATHER ANNA OSTERBRINK M.D.

Information about “1831377241” NPI (HEATHER ANNA OSTERBRINK M.D.) exists in 1831377241 in HTML format HTML  |  1831377241 in plain Text format TXT  |  1831377241 in PDF (Portable Document Format) PDF  |  1831377241 in an XML format XML  formats.

NPI Number : 1831377241 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831377241",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OSTERBRINK",
    "FirstName": "HEATHER",
    "MiddleName": "ANNA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TOWNSEND",
    "OtherFirstName": "HEATHER",
    "OtherMiddleName": "ANNA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1700 W TOWNLINE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CRESTON",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "50801-1054",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "641-782-7091",
    "MailingAddressFaxNumber": "641-782-3830",
    "FirstLinePracticeLocationAddress": "1610 W TOWNLINE ST",
    "SecondLinePracticeLocationAddress": "SUITE 110",
    "PracticeLocationAddressCityName": "CRESTON",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "50801-1066",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "641-782-3887",
    "PracticeLocationAddressFaxNumber": "641-782-3941",
    "EnumerationDate": "02/07/2008",
    "LastUpdateDate": "02/06/2014",
    "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": "208600000X",
          "TaxonomyName": "Surgery Physician",
          "LicenseNumber": "48687",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2086S0102X",
          "TaxonomyName": "Surgical Critical Care Physician",
          "LicenseNumber": "48687",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208600000X",
          "TaxonomyName": "Surgery Physician",
          "LicenseNumber": "41393",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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