Terri J Johnston is a Specialist in Rockford, Illinois. Terri J Johnston practices all healthcare services and medical treatments related to Specialist. The NPI Number for Terri J Johnston is 1225105521. The last update date is 2008-08-15.
Terri J Johnston's current location address is 2591 N Mulford Rd, Rockford, Illinois. You can contact this provider via phone number 8156399251. The mailing address for Terri J Johnston is 2591 N Mulford Rd, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terri J Johnston |
|---|---|
| Address | 2591 N Mulford Rd, Rockford, Illinois |
| Phone Number | 8156399251 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1225105521 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2008-08-15 |
Provider Mailing Address Detail
| Address | 2591 N Mulford Rd |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611145643 |
| Phone Number | 8156399251 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 011-167276 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5184320001 | IL | PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Terri J Johnston by the Centers for Medicare & Medicaid Services (CMS)?
The Terri J Johnston has been assigned the NPI (National Provider Identifier) 1225105521. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Terri J Johnston is physically located?
The Terri J Johnston is physically situated at the following address: 2591 N Mulford Rd, Rockford, IL, 611145643.
What is Terri J Johnston'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 Terri J Johnston is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Terri J Johnston receive the assignment of its 1225105521 from the Centers for Medicare & Medicaid Services?
The Terri J Johnston was issued its 1225105521 by the Centers for Medicare & Medicaid Services on 2006-11-29.
When was the information related to Terri J Johnston most recently updated or refreshed?
The details pertaining to the Terri J Johnston, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-15.