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1891939682 NPI number — GENTLE FOOT CARE OF WESTERN OHIO, INC.

NPI Number: 1891939682
Health Care Provider/Practitioner: GENTLE FOOT CARE OF WESTERN OHIO, INC.

Information about “1891939682” NPI (GENTLE FOOT CARE OF WESTERN OHIO, INC.) exists in 1891939682 in HTML format HTML  |  1891939682 in plain Text format TXT  |  1891939682 in PDF (Portable Document Format) PDF  |  1891939682 in an XML format XML  formats.

NPI Number : 1891939682 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891939682",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "GENTLE FOOT CARE",
    "ParentOrgTIN": null,
    "OrgName": "GENTLE FOOT CARE OF WESTERN OHIO, INC.",
    "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": "3800 WOODWARD AVE STE 318",
    "SecondLineMailingAddress": "SUITE 1102",
    "MailingAddressCityName": "DETROIT",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48201-2066",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "313-833-3090",
    "MailingAddressFaxNumber": "313-833-7843",
    "FirstLinePracticeLocationAddress": "3800 WOODWARD AVE STE 318",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DETROIT",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48201-2066",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "313-833-3090",
    "PracticeLocationAddressFaxNumber": "313-833-7843",
    "EnumerationDate": "04/24/2009",
    "LastUpdateDate": "11/04/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HENDERSON",
    "AuthorizedOfficialFirstName": "CARMEN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CREDENTIALS SPECIALIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "614-457-3212",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "335E00000X",
          "TaxonomyName": "Prosthetic/Orthotic Supplier",
          "LicenseNumber": "5901002275",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": "5901002275",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QP1100X",
          "TaxonomyName": "Podiatric Clinic/Center",
          "LicenseNumber": "5901002275",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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