John Dock in Springfield - Specialist

John Dock - NPI 1457436735

John Dock is a Specialist in Springfield, Missouri. John Dock practices all healthcare services and medical treatments related to Specialist. The NPI Number for John Dock is 1457436735. The last update date is 2014-02-06.

John Dock's current location address is 960 E Walnut Lawn St, Springfield, Missouri. You can contact this provider via phone number 4178753600 and fax number 4178753625. The mailing address for John Dock is 960 E Walnut Lawn St, Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name John Dock
Address 960 E Walnut Lawn St, Springfield, Missouri
Phone Number 4178753600
Fax Number 4178753625
Sole Proprietor N
Credentials MSCCCA-A

NPI Number Detail

NPI Number 1457436735
Provider Enumeration Date 2006-10-26
Last Updated Date 2014-02-06

Provider Mailing Address Detail

Address 960 E Walnut Lawn St
City Springfield
State Missouri (MO)
Post Code 658077506
Phone Number 4178753600
Fax Number 4178753625

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 113808
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
1457436735 MO --

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FAQs about John Dock

What is the John Dock's 1457436735?

The John Dock's NPI (National Provider Identifier) Number is 1457436735. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where John Dock's facilities are geographically located?

The facilities of John Dock are physically situated at the following location: 960 E Walnut Lawn St, Springfield, MO, 658077506.

What is John Dock's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for John Dock is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did John Dock receive its 1457436735 assignment from the Centers for Medicare & Medicaid Services?

The John Dock was assigned its 1457436735 on 2006-10-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding John Dock, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to John Dock, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-02-06.

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