Joseph Clarke Johnsonwall in Alexandria - Military Health Care Provider
Joseph Clarke Johnsonwall - NPI 1932172301
Joseph Clarke Johnsonwall is a Military Health Care Provider in Alexandria, Virginia. Joseph Clarke Johnsonwall practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for Joseph Clarke Johnsonwall is 1932172301. The last update date is 2015-07-30.
Joseph Clarke Johnsonwall's current location address is 2404 William And Mary Dr, Alexandria, Virginia. You can contact this provider via phone number 7035859133. The mailing address for Joseph Clarke Johnsonwall is 2404 William And Mary Dr, Alexandria, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Clarke Johnsonwall |
|---|---|
| Address | 2404 William And Mary Dr, Alexandria, Virginia |
| Phone Number | 7035859133 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1932172301 |
|---|---|
| Provider Enumeration Date | 2006-02-08 |
| Last Updated Date | 2015-07-30 |
Provider Mailing Address Detail
| Address | 2404 William And Mary Dr |
|---|---|
| City | Alexandria |
| State | Virginia (VA) |
| Post Code | 223081554 |
| Phone Number | 7035859133 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Military Health Care Provider |
|---|---|
| Taxonomy | 171000000X |
| Licence No | 23992 |
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Definition: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
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What is the unique 10-digit identification code issued to Joseph Clarke Johnsonwall by the Centers for Medicare & Medicaid Services?
The Joseph Clarke Johnsonwall has been assigned the NPI (National Provider Identifier) 1932172301 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Joseph Clarke Johnsonwall?
The Joseph Clarke Johnsonwall is situated at 2404 William And Mary Dr, in the city of Alexandria, state of VA, with the zip code 223081554.
What is Joseph Clarke Johnsonwall's specialized field of practice, and what is the corresponding taxonomy classification code?
The Joseph Clarke Johnsonwall's area of specialization is Military Health Care Provider, and the corresponding taxonomy code that categorizes this field of practice is 171000000X.
On what date did the Joseph Clarke Johnsonwall receive its 1932172301 assignment from the Centers for Medicare & Medicaid Services?
The Joseph Clarke Johnsonwall was assigned its 1932172301 by the Centers for Medicare & Medicaid Services on 2006-02-08.
When was the information related to Joseph Clarke Johnsonwall most recently updated or refreshed?
The details pertaining to the Joseph Clarke Johnsonwall, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-07-30.
NPI Number: 1215930425
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