John M Mccrillis in Louisville - General Practice

John M Mccrillis - NPI 1184678815

John M Mccrillis is a General Practice in Louisville, Kentucky. John M Mccrillis practices all healthcare services and medical treatments related to General Practice. The NPI Number for John M Mccrillis is 1184678815. The last update date is 2016-05-17.

John M Mccrillis's current location address is 3935 Dupont Cir, Louisville, Kentucky. You can contact this provider via phone number 5024587476 and fax number 5024587797. The mailing address for John M Mccrillis is 3935 Dupont Cir, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name John M Mccrillis
Address 3935 Dupont Cir, Louisville, Kentucky
Phone Number 5024587476
Fax Number 5024587797
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1184678815
Provider Enumeration Date 2006-05-19
Last Updated Date 2016-05-17

Provider Mailing Address Detail

Address 3935 Dupont Cir
City Louisville
State Kentucky (KY)
Post Code 402074824
Phone Number 5024587476
Fax Number 5024587797

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 4612
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
68357 KY ANTHEM NON-PAR

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FAQs about John M Mccrillis

What is the unique 10-digit identification code issued to John M Mccrillis by the Centers for Medicare & Medicaid Services?

The John M Mccrillis has been assigned the NPI (National Provider Identifier) 1184678815 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where John M Mccrillis is physically located?

The John M Mccrillis is physically situated at the following address: 3935 Dupont Cir, Louisville, KY, 402074824.

What is John M Mccrillis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for John M Mccrillis is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the John M Mccrillis receive its 1184678815 assignment from the Centers for Medicare & Medicaid Services?

The John M Mccrillis was assigned its 1184678815 by the Centers for Medicare & Medicaid Services on 2006-05-19.

As of what date were the details pertaining to John M Mccrillis last refreshed?

The information related to the John M Mccrillis, including its address, specialty, and other relevant details, was last updated on 2016-05-17.

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