John Russell Johansson in Essex Junction - Neuromusculoskeletal Medicine, Sports Medicine
John Russell Johansson - NPI 1316005960
John Russell Johansson is a Neuromusculoskeletal Medicine, Sports Medicine in Essex Junction, Vermont. John Russell Johansson practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine, Sports Medicine. The NPI Number for John Russell Johansson is 1316005960. The last update date is 2017-04-18.
John Russell Johansson's current location address is 67 Lincoln St, Essex Junction, Vermont. You can contact this provider via phone number 8028789278. The mailing address for John Russell Johansson is 67 Lincoln St, Essex Junction, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Russell Johansson |
|---|---|
| Address | 67 Lincoln St, Essex Junction, Vermont |
| Phone Number | 8028789278 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1316005960 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2017-04-18 |
Provider Mailing Address Detail
| Address | 67 Lincoln St |
|---|---|
| City | Essex Junction |
| State | Vermont (VT) |
| Post Code | 54523235 |
| Phone Number | 8028789278 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
|---|---|
| Taxonomy | 204C00000X |
| Licence No | VT 0000304 |
|
Definition: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| JOVT-9125 | VT | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to John Russell Johansson?
The John Russell Johansson has been issued the NPI (National Provider Identifier) 1316005960 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where John Russell Johansson's facilities are geographically located?
The facilities of John Russell Johansson are physically situated at the following location: 67 Lincoln St, Essex Junction, VT, 54523235.
What is the John Russell Johansson's area of specialization and corresponding taxonomy classification?
The John Russell Johansson's specialty field is Neuromusculoskeletal Medicine, Sports Medicine, and it falls under the taxonomy code 204C00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1316005960 to John Russell Johansson?
The John Russell Johansson received its 1316005960 assignment from the Centers for Medicare & Medicaid Services on 2006-12-05.
When was the information regarding John Russell Johansson most recently updated?
The details pertaining to the John Russell Johansson, including its address, specialty, and other relevant information, were last refreshed on 2017-04-18.
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