Henry Breavoid Johnson in Philadelphia - Contractor

Henry Breavoid Johnson - NPI 1558482661

Henry Breavoid Johnson is a Contractor in Philadelphia, Pennsylvania. Henry Breavoid Johnson practices all healthcare services and medical treatments related to Contractor. The NPI Number for Henry Breavoid Johnson is 1558482661. The last update date is 2007-07-08.

Henry Breavoid Johnson's current location address is 435 E Allens Ln, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157539033. The mailing address for Henry Breavoid Johnson is 435 E Allens Ln, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Henry Breavoid Johnson
Address 435 E Allens Ln, Philadelphia, Pennsylvania
Phone Number 2157539033
Fax Number
Sole Proprietor Y
Credentials OTR

NPI Number Detail

NPI Number 1558482661
Provider Enumeration Date 2007-04-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 435 E Allens Ln
City Philadelphia
State Pennsylvania (PA)
Post Code 191191104
Phone Number 2157539033
Fax Number

Provider's Primary Taxonomy Detail

Speciality Contractor
Taxonomy 171W00000X
Licence No OCC003859L
Definition:
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m

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FAQs about Henry Breavoid Johnson

What is the unique identifier code issued to Henry Breavoid Johnson by the Centers for Medicare & Medicaid Services?

The Henry Breavoid Johnson has been assigned the NPI (National Provider Identifier) 1558482661. 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 share the complete physical location address where Henry Breavoid Johnson's facilities are situated?

The facilities of Henry Breavoid Johnson are physically located at the following address: 435 E Allens Ln, Philadelphia, PA, 191191104.

What is Henry Breavoid Johnson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Henry Breavoid Johnson is Contractor, and the taxonomy classification code that categorizes this area of expertise is 171W00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1558482661 to Henry Breavoid Johnson?

The Henry Breavoid Johnson received its 1558482661 assignment from the Centers for Medicare & Medicaid Services on 2007-04-03.

As of what date was the information pertaining to Henry Breavoid Johnson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Henry Breavoid Johnson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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