Shannon Patrick Johnson in Norfolk - Independent Duty Corpsman
Shannon Patrick Johnson - NPI 1164635520
Shannon Patrick Johnson is a Independent Duty Corpsman in Norfolk, Virginia. Shannon Patrick Johnson practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Shannon Patrick Johnson is 1164635520. The last update date is 2007-07-08.
Shannon Patrick Johnson's current location address is 1004 Hermitage Rd, Norfolk, Virginia. You can contact this provider via phone number 7574623178. The mailing address for Shannon Patrick Johnson is 1004 Hermitage Rd, Norfolk, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Patrick Johnson |
|---|---|
| Address | 1004 Hermitage Rd, Norfolk, Virginia |
| Phone Number | 7574623178 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1164635520 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1004 Hermitage Rd |
|---|---|
| City | Norfolk |
| State | Virginia (VA) |
| Post Code | 235215000 |
| Phone Number | 7574623178 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Corpsman |
|---|---|
| Taxonomy | 1710I1002X |
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Definition: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a v |
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What is the unique identification code assigned to Shannon Patrick Johnson by the Centers for Medicare & Medicaid Services?
The Shannon Patrick Johnson has been issued the NPI (National Provider Identifier) 1164635520. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shannon Patrick Johnson located?
The Shannon Patrick Johnson is located at 1004 Hermitage Rd, Norfolk, VA 235215000.
What is Shannon Patrick Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shannon Patrick Johnson's specialized field of practice is Independent Duty Corpsman, and the corresponding taxonomy code that categorizes this area of specialization is 1710I1002X.
On what date did the Shannon Patrick Johnson receive the assignment of its 1164635520 from the Centers for Medicare & Medicaid Services?
The Shannon Patrick Johnson was issued its 1164635520 by the Centers for Medicare & Medicaid Services on 2007-05-08.
When was the information regarding Shannon Patrick Johnson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shannon Patrick Johnson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.