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1871758714 NPI number — ANNETTE ELGIN NEUMANN D.O.

NPI Number: 1871758714
Health Care Provider/Practitioner: ANNETTE ELGIN NEUMANN D.O.

Information about “1871758714” NPI (ANNETTE ELGIN NEUMANN D.O.) exists in 1871758714 in HTML format HTML  |  1871758714 in plain Text format TXT  |  1871758714 in PDF (Portable Document Format) PDF  |  1871758714 in an XML format XML  formats.

NPI Number : 1871758714 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871758714",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NEUMANN",
    "FirstName": "ANNETTE",
    "MiddleName": "ELGIN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6642 LEWIS AVE",
    "SecondLineMailingAddress": "12",
    "MailingAddressCityName": "TEMPERANCE",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48182-1201",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "734-224-7171",
    "MailingAddressFaxNumber": "734-224-7181",
    "FirstLinePracticeLocationAddress": "6642 LEWIS AVE",
    "SecondLinePracticeLocationAddress": "12",
    "PracticeLocationAddressCityName": "TEMPERANCE",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48182-1201",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "734-224-7171",
    "PracticeLocationAddressFaxNumber": "734-224-7181",
    "EnumerationDate": "07/21/2008",
    "LastUpdateDate": "01/20/2012",
    "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": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "5101018642",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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