John Black is a Specialist in Modesto, California. John Black practices all healthcare services and medical treatments related to Specialist. The NPI Number for John Black is 1417014176. The last update date is 2007-07-08.
John Black's current location address is 5336 Avenue D, Modesto, California. You can contact this provider via phone number 2095371516. The mailing address for John Black is 5336 Avenue D, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Black |
|---|---|
| Address | 5336 Avenue D, Modesto, California |
| Phone Number | 2095371516 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1417014176 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5336 Avenue D |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953589445 |
| Phone Number | 2095371516 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
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 10-digit identification code issued to John Black by the Centers for Medicare & Medicaid Services?
The John Black has been assigned the NPI (National Provider Identifier) 1417014176 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of John Black?
The John Black is physically situated at 5336 Avenue D, in the city of Modesto, state of CA, with the postal code 953589445.
What is John Black's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John Black is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
When did the John Black receive its 1417014176?
The John Black was issued its 1417014176 on 2007-01-02, which is the date when the organization was assigned this unique identifier.
When was the information related to John Black most recently updated or refreshed?
The details pertaining to the John Black, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.