Michelle John in Jacksonville - Specialist

Michelle John - NPI 1417034588

Michelle John is a Specialist in Jacksonville, Arkansas. Michelle John practices all healthcare services and medical treatments related to Specialist. The NPI Number for Michelle John is 1417034588. The last update date is 2007-07-09.

Michelle John's current location address is 2520 W Main St, Jacksonville, Arkansas. You can contact this provider via phone number 5019824578 and fax number 5019821253. The mailing address for Michelle John is 2520 W Main St, Jacksonville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Michelle John
Address 2520 W Main St, Jacksonville, Arkansas
Phone Number 5019824578
Fax Number 5019821253
Sole Proprietor N
Credentials OTR/L

NPI Number Detail

NPI Number 1417034588
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 2520 W Main St
City Jacksonville
State Arkansas (AR)
Post Code 720764214
Phone Number 5019824578
Fax Number 5019821253

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No OTR214
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Michelle John

What is the unique 10-digit identification code assigned to Michelle John by the Centers for Medicare & Medicaid Services?

The Michelle John has been issued the NPI (National Provider Identifier) 1417034588, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Michelle John?

The Michelle John is situated at 2520 W Main St, in the city of Jacksonville, state of AR, with the zip code 720764214.

What is the Michelle John's specialty and taxonomy code?

The Michelle John's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1417034588 to Michelle John?

The Michelle John received its 1417034588 assignment from the Centers for Medicare & Medicaid Services on 2006-11-01.

When was the information regarding Michelle John, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Michelle John, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.

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