NPI Code Detail JSON Logo

1851483242 NPI number — JACOB P HOLKUP DC

NPI Number: 1851483242
Health Care Provider/Practitioner: JACOB P HOLKUP DC

Information about “1851483242” NPI (JACOB P HOLKUP DC) exists in 1851483242 in HTML format HTML  |  1851483242 in plain Text format TXT  |  1851483242 in PDF (Portable Document Format) PDF  |  1851483242 in an XML format XML  formats.

NPI Number : 1851483242 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851483242",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOLKUP",
    "FirstName": "JACOB",
    "MiddleName": "P",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 908",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BEACH",
    "MailingAddressStateName": "ND",
    "MailingAddressPostalCode": "58621-0908",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "701-872-7520",
    "MailingAddressFaxNumber": "701-872-7521",
    "FirstLinePracticeLocationAddress": "110 S CENTRAL AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BEACH",
    "PracticeLocationAddressStateName": "ND",
    "PracticeLocationAddressPostalCode": "58621-4001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "701-872-7520",
    "PracticeLocationAddressFaxNumber": "701-872-7521",
    "EnumerationDate": "09/29/2006",
    "LastUpdateDate": "04/17/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "729",
          "LicenseNumberStateCode": "ND",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "2301009112",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "4356",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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