John R Labban is a Specialist in Bloomington, Indiana. John R Labban practices all healthcare services and medical treatments related to Specialist. The NPI Number for John R Labban is 1114005402. The last update date is 2018-08-23.
John R Labban's current location address is 650 S Walker St, Bloomington, Indiana. You can contact this provider via phone number 8123340698 and fax number 8123340950. The mailing address for John R Labban is 650 S Walker St, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John R Labban |
|---|---|
| Address | 650 S Walker St, Bloomington, Indiana |
| Phone Number | 8123340698 |
| Fax Number | 8123340950 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114005402 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2018-08-23 |
Provider Mailing Address Detail
| Address | 650 S Walker St |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474032158 |
| Phone Number | 8123340698 |
| Fax Number | 8123340950 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 01054787A |
|
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 |
|---|---|---|---|
| 200340320 | IN | -- | |
| 321780 | IN | ANTHEM PIN |
Post Comment/ Review Below
What is the unique identification code assigned to John R Labban by the Centers for Medicare & Medicaid Services?
The John R Labban has been issued the NPI (National Provider Identifier) 1114005402. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the John R Labban's physical address?
The John R Labban is physically located at 650 S Walker St, in the city of Bloomington, IN, with the postal code 474032158.
What is John R Labban's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John R Labban's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the John R Labban receive its 1114005402 assignment from the Centers for Medicare & Medicaid Services?
The John R Labban was assigned its 1114005402 by the Centers for Medicare & Medicaid Services on 2006-11-02.
As of what date was the information regarding John R Labban, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John R Labban, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-08-23.
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