Miriam D Johnson is a Specialist in Kirkland, Washington. Miriam D Johnson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Miriam D Johnson is 1518044791. The last update date is 2007-07-08.
Miriam D Johnson's current location address is 12707 120th Ave Ne, Kirkland, Washington. You can contact this provider via phone number 4258994200 and fax number 4258994202. The mailing address for Miriam D Johnson is 12707 120th Ave Ne, Kirkland, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Miriam D Johnson |
|---|---|
| Address | 12707 120th Ave Ne, Kirkland, Washington |
| Phone Number | 4258994200 |
| Fax Number | 4258994202 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1518044791 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12707 120th Ave Ne |
|---|---|
| City | Kirkland |
| State | Washington (WA) |
| Post Code | 980347500 |
| Phone Number | 4258994200 |
| Fax Number | 4258994202 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD00024675 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| JO4111 | WA | REGENCE | |
| 1049154 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Miriam D Johnson by the Centers for Medicare & Medicaid Services (CMS)?
The Miriam D Johnson has been assigned the NPI (National Provider Identifier) 1518044791. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Miriam D Johnson?
The Miriam D Johnson is physically situated at 12707 120Th Ave Ne, in the city of Kirkland, state of WA, with the postal code 980347500.
What is the Miriam D Johnson's area of specialization and corresponding taxonomy classification?
The Miriam D Johnson's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1518044791 to Miriam D Johnson?
The Centers for Medicare & Medicaid Services assigned the 1518044791 to Miriam D Johnson on 2006-11-01.
As of what date were the details related to Miriam D Johnson most recently updated or revised?
The information pertaining to Miriam D Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.