John Charles Klock in Nicasio - Specialist
John Charles Klock - NPI 1558422675
John Charles Klock is a Specialist in Nicasio, California. John Charles Klock practices all healthcare services and medical treatments related to Specialist. The NPI Number for John Charles Klock is 1558422675. The last update date is 2007-07-08.
John Charles Klock's current location address is 345 Willow Road, Nicasio, California. You can contact this provider via phone number 4156622553 and fax number 4156622127. The mailing address for John Charles Klock is 345 Willow Road, Nicasio, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Charles Klock |
|---|---|
| Address | 345 Willow Road, Nicasio, California |
| Phone Number | 4156622553 |
| Fax Number | 4156622127 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1558422675 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 345 Willow Road |
|---|---|
| City | Nicasio |
| State | California (CA) |
| Post Code | 949460511 |
| Phone Number | 4156622553 |
| Fax Number | 4156622127 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G20664 |
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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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Post Comment/ Review Below
What is the unique identification code assigned to John Charles Klock by the Centers for Medicare & Medicaid Services?
The John Charles Klock has been issued the NPI (National Provider Identifier) 1558422675. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where John Charles Klock's facilities are situated?
The facilities of John Charles Klock are physically located at the following address: 345 Willow Road, Nicasio, CA, 949460511.
What is the John Charles Klock's specialty and taxonomy code?
The John Charles Klock's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1558422675 to John Charles Klock?
The Centers for Medicare & Medicaid Services assigned the 1558422675 to John Charles Klock on 2006-12-12.
When was the John Charles Klock's information last updated?
The John Charles Klock's information was last updated on 2007-07-08.