John Michael Imp in Rochester - Clinical

John Michael Imp - NPI 1164559241

John Michael Imp is a Clinical in Rochester, Minnesota. John Michael Imp practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Michael Imp is 1164559241. The last update date is 2007-07-09.

John Michael Imp's current location address is 1357 Windbreak Ct Ne, Rochester, Minnesota. You can contact this provider via phone number 5072895409. The mailing address for John Michael Imp is 1357 Windbreak Ct Ne, Rochester, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name John Michael Imp
Address 1357 Windbreak Ct Ne, Rochester, Minnesota
Phone Number 5072895409
Fax Number
Sole Proprietor N
Credentials PHD., L.P.

NPI Number Detail

NPI Number 1164559241
Provider Enumeration Date 2007-02-27
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1357 Windbreak Ct Ne
City Rochester
State Minnesota (MN)
Post Code 559068587
Phone Number 5072895409
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No LP2523
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
HP38677 MN HEALTHPARTNERS
921001033636 MN PREFERRED ONE
143305 MN UCARE
362J3IM MN BCBS OF MN

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FAQs about John Michael Imp

What is the John Michael Imp's unique identification number?

The John Michael Imp has been assigned the NPI (National Provider Identifier) Number 1164559241 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the John Michael Imp located?

The John Michael Imp is located at 1357 Windbreak Ct Ne, Rochester, MN 559068587.

What is John Michael Imp's area of expertise and its corresponding taxonomy classification?

The John Michael Imp's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.

When did John Michael Imp receive its 1164559241 assignment?

The John Michael Imp was assigned its 1164559241 on 2007-02-27, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to John Michael Imp, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to John Michael Imp, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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