NPI Code Detail JSON Logo

1962343681 NPI number — JILLIAN T EICHHORN LMT

NPI Number: 1962343681
Health Care Provider/Practitioner: JILLIAN T EICHHORN LMT

Information about “1962343681” NPI (JILLIAN T EICHHORN LMT) exists in 1962343681 in HTML format HTML  |  1962343681 in plain Text format TXT  |  1962343681 in PDF (Portable Document Format) PDF  |  1962343681 in an XML format XML  formats.

NPI Number : 1962343681 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962343681",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EICHHORN",
    "FirstName": "JILLIAN",
    "MiddleName": "T",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1003 CHEROKEE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROYAL OAK",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48067-3384",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "905 W 11 MILE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MADISON HEIGHTS",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48071-3103",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "734-224-5471",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/06/2026",
    "LastUpdateDate": "04/06/2026",
    "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": "225700000X",
        "TaxonomyName": "Massage Therapist",
        "LicenseNumber": "7501017190",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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