1982878641 NPI number — EUNJOO HAN L.AC., PH.D.

NPI Number: 1982878641
Health Care Provider/Practitioner: EUNJOO HAN L.AC., PH.D.

NPI Number : 1982878641 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982878641",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAN",
    "FirstName": "EUNJOO",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "L.AC., PH.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HAN",
    "OtherFirstName": "EJ",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "L.AC.,PH.D.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "PO BOX 217",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MERCER ISLAND",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98040-0217",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "206-851-3204",
    "MailingAddressFaxNumber": "206-851-3204",
    "FirstLinePracticeLocationAddress": "3221 EASTLAKE AVE E",
    "SecondLinePracticeLocationAddress": "SUITE 110",
    "PracticeLocationAddressCityName": "SEATTLE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98102-7125",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "206-851-3204",
    "PracticeLocationAddressFaxNumber": "206-275-3835",
    "EnumerationDate": "04/14/2008",
    "LastUpdateDate": "04/14/2008",
    "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": "171100000X",
        "TaxonomyName": "Acupuncturist",
        "LicenseNumber": "AC 00002695",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}