Healthcare Provider Digital Endpoint |
|
NPI (National Provider Identifier)
|
1275154908
|
|
Endpoint Type
|
OTHERS (Other URL)
|
|
Endpoint
|
Avatar
|
|
Endpoint Description
|
|
|
Endpoint Affiliation
|
N (No, Endpoint is not affiliated with an NPI or EIN)
|
Endpoint Affiliation Information |
|
Affiliation Legal Business Name
|
|
|
Affiliation Legal Business Address
|
925 State Hwy VV
Kennett MO
63857
US
|
Healthcare Provider Digital Endpoint Use |
|
Use Code
|
DIRECT
|
|
Use Description
|
Direct
|
|
Other Use Description
|
|
Healthcare Provider Digital Endpoint Content |
|
Content Type
|
OTHER
|
|
Content Description
|
Other
|
|
Other Content Description
|
Avatar
|