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1841905221 NPI number — ALLISON ANN VREEKE

NPI Number: 1841905221
Health Care Provider/Practitioner: ALLISON ANN VREEKE

Information about “1841905221” NPI (ALLISON ANN VREEKE) exists in 1841905221 in HTML format HTML  |  1841905221 in plain Text format TXT  |  1841905221 in PDF (Portable Document Format) PDF  |  1841905221 in an XML format XML  formats.

NPI Number : 1841905221 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841905221",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VREEKE",
    "FirstName": "ALLISON",
    "MiddleName": "ANN",
    "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": "4337 COUNTRY MEADOWS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SHEBOYGAN",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53083-5819",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "920-918-7258",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4337 COUNTRY MEADOWS DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SHEBOYGAN",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53083-5819",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "920-918-7258",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/19/2023",
    "LastUpdateDate": "01/19/2023",
    "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": "2255A2300X",
          "TaxonomyName": "Athletic Trainer",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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