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1881704377 NPI number — JONATHAN GRALNICK D.C.

NPI Number: 1881704377
Health Care Provider/Practitioner: JONATHAN GRALNICK D.C.

Information about “1881704377” NPI (JONATHAN GRALNICK D.C.) exists in 1881704377 in HTML format HTML  |  1881704377 in plain Text format TXT  |  1881704377 in PDF (Portable Document Format) PDF  |  1881704377 in an XML format XML  formats.

NPI Number : 1881704377 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881704377",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GRALNICK",
    "FirstName": "JONATHAN",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GRALNICK",
    "OtherFirstName": "JON",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "D.C",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "150 NW 70TH AVE",
    "SecondLineMailingAddress": "SUITE #6",
    "MailingAddressCityName": "PLANTATION",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33317-2911",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-587-4245",
    "MailingAddressFaxNumber": "954-587-9633",
    "FirstLinePracticeLocationAddress": "150 NW 70TH AVE",
    "SecondLinePracticeLocationAddress": "SUITE #6",
    "PracticeLocationAddressCityName": "PLANTATION",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33317-2911",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-587-4245",
    "PracticeLocationAddressFaxNumber": "954-587-9633",
    "EnumerationDate": "08/30/2006",
    "LastUpdateDate": "06/17/2010",
    "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": "CH5620",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "111NN0400X",
          "TaxonomyName": "Neurology Chiropractor",
          "LicenseNumber": "CH5620",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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