Creighton John Mckowen in Shakopee - Psychologist
Creighton John Mckowen - NPI 1073691317
Creighton John Mckowen is a Psychologist in Shakopee, Minnesota. Creighton John Mckowen practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Creighton John Mckowen is 1073691317. The last update date is 2007-07-09.
Creighton John Mckowen's current location address is 287 Marschall Rd, Shakopee, Minnesota. You can contact this provider via phone number 9524457430 and fax number 9524005760. The mailing address for Creighton John Mckowen is 287 Marschall Rd, Shakopee, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Creighton John Mckowen |
|---|---|
| Address | 287 Marschall Rd, Shakopee, Minnesota |
| Phone Number | 9524457430 |
| Fax Number | 9524005760 |
| Sole Proprietor | N |
| Credentials | LP |
NPI Number Detail
| NPI Number | 1073691317 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 287 Marschall Rd |
|---|---|
| City | Shakopee |
| State | Minnesota (MN) |
| Post Code | 553791686 |
| Phone Number | 9524457430 |
| Fax Number | 9524005760 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP1413 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30505MC | MN | BCBS ID | |
| 51264MC | MN | BCBS GROUP ID | |
| AETNA | MN | AETNA ID |
Post Comment/ Review Below
What is the unique identifier code issued to Creighton John Mckowen by the Centers for Medicare & Medicaid Services?
The Creighton John Mckowen has been assigned the NPI (National Provider Identifier) 1073691317. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Creighton John Mckowen?
The Creighton John Mckowen is physically situated at 287 Marschall Rd, in the city of Shakopee, state of MN, with the postal code 553791686.
What is Creighton John Mckowen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Creighton John Mckowen's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
When did the Creighton John Mckowen receive its 1073691317?
The Creighton John Mckowen was issued its 1073691317 on 2006-11-02, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Creighton John Mckowen most recently updated or revised?
The details related to Creighton John Mckowen, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.