P John Konicki in Bloomington - Emergency Medical Services
P John Konicki - NPI 1336152891
P John Konicki is a Emergency Medical Services in Bloomington, Indiana. P John Konicki practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for P John Konicki is 1336152891. The last update date is 2020-10-23.
P John Konicki's current location address is 601 W 2nd St, Bloomington, Indiana. You can contact this provider via phone number 8123535252. The mailing address for P John Konicki is 601 W 2nd St, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | P John Konicki |
|---|---|
| Address | 601 W 2nd St, Bloomington, Indiana |
| Phone Number | 8123535252 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1336152891 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2020-10-23 |
Provider Mailing Address Detail
| Address | 601 W 2nd St |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474032317 |
| Phone Number | 8123535252 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medical Services |
|---|---|
| Taxonomy | 207Pe0004X |
| Licence No | 36091309 |
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Definition: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36091309 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to P John Konicki?
The P John Konicki has been issued the NPI (National Provider Identifier) 1336152891 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the P John Konicki located?
The P John Konicki is located at 601 W 2Nd St, Bloomington, IN 474032317.
What is P John Konicki's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for P John Konicki is Emergency Medical Services, and the taxonomy code that categorizes this field of expertise is 207Pe0004X.
When was the P John Konicki's 1336152891 issued?
The P John Konicki's 1336152891 was issued on 2006-08-15.
As of what date were the details related to P John Konicki most recently updated or revised?
The information pertaining to P John Konicki, including its address, specialty, and other relevant details, was last updated or revised on 2020-10-23.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY