Objects / Clinician
Clinician Stored source record
SHEILA D WAGNER ND, PT, CNS
1100 LARKSPUR LANDING CIR STE 255, LARKSPUR, CA, 949391816
atlas:atm_npi_1700105285
What is stored
- status
- A
- address
- 1100 LARKSPUR LANDING CIR STE 255, LARKSPUR, CA, 949391816
- npi
- 1700105285
- license
- ND1013
- taxonomy
- Naprapath
- other names
- []
- last updated
- 2018-10-29
- license state
- CA
- taxonomy code
- 172P00000X
- all taxonomies
- ["Physical Therapist, Orthopedic","Nutritionist, Nutrition, Education","Naprapath"]
- sole proprietor
- YES
- enumeration date
- 2010-05-24
- enumeration type
- NPI-1
- practice locations
- 1
Connected objects
has profession
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Read fact fields
{
"npi": "1700105285",
"status": "A",
"address": "1100 LARKSPUR LANDING CIR STE 255, LARKSPUR, CA, 949391816",
"license": "ND1013",
"taxonomy": "Naprapath",
"other_names": [],
"last_updated": "2018-10-29",
"license_state": "CA",
"taxonomy_code": "172P00000X",
"all_taxonomies": [
"Physical Therapist, Orthopedic",
"Nutritionist, Nutrition, Education",
"Naprapath"
],
"sole_proprietor": "YES",
"enumeration_date": "2010-05-24",
"enumeration_type": "NPI-1",
"practice_locations": 1
}