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1982246336 NPI number — AUSTIN JOSHUA STIVISON DC

NPI Number: 1982246336
Health Care Provider/Practitioner: AUSTIN JOSHUA STIVISON DC

Information about “1982246336” NPI (AUSTIN JOSHUA STIVISON DC) exists in 1982246336 in HTML format HTML  |  1982246336 in plain Text format TXT  |  1982246336 in PDF (Portable Document Format) PDF  |  1982246336 in an XML format XML  formats.

NPI Number : 1982246336 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982246336",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STIVISON",
    "FirstName": "AUSTIN",
    "MiddleName": "JOSHUA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "STIVISON",
    "OtherFirstName": "AUSTIN",
    "OtherMiddleName": "JOSHUA",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DC",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "2145 N MAIN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COEUR D ALENE",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83814-5768",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-298-9169",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2145 N MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COEUR D ALENE",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83814-5768",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-298-9169",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/16/2019",
    "LastUpdateDate": "06/14/2025",
    "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": "111NR0400X",
          "TaxonomyName": "Rehabilitation Chiropractor",
          "LicenseNumber": "CH61004790",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "111NR0400X",
          "TaxonomyName": "Rehabilitation Chiropractor",
          "LicenseNumber": "CHIA-2111",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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