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1831609312 NPI number — HEALTHY FAMILY CHIROPRACTIC LLC

NPI Number: 1831609312
Health Care Provider/Practitioner: HEALTHY FAMILY CHIROPRACTIC LLC

Information about “1831609312” NPI (HEALTHY FAMILY CHIROPRACTIC LLC) exists in 1831609312 in HTML format HTML  |  1831609312 in plain Text format TXT  |  1831609312 in PDF (Portable Document Format) PDF  |  1831609312 in an XML format XML  formats.

NPI Number : 1831609312 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831609312",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HEALTHY FAMILY CHIROPRACTIC 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": "6377 MONROE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SYLVANIA",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43560-1429",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "419-322-0741",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6377 MONROE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SYLVANIA",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43560-1429",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "419-322-0741",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/10/2017",
    "LastUpdateDate": "10/10/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LOCKHART",
    "AuthorizedOfficialFirstName": "JESSICA",
    "AuthorizedOfficialMiddleName": "ANNE",
    "AuthorizedOfficialTitle": "CHIROPRACTIC PHYSICIAN",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DC",
    "AuthorizedOfficialTelephoneNumber": "419-322-0741",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "2301010592",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "4427",
          "LicenseNumberStateCode": "OH",
          "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."
        },
        {
          "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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