Jungsook Sue Johnson in Casper - Family Medicine
Jungsook Sue Johnson - NPI 1720061658
Jungsook Sue Johnson is a Family Medicine in Casper, . Jungsook Sue Johnson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jungsook Sue Johnson is 1720061658. The last update date is 2016-11-09.
Jungsook Sue Johnson's current location address is 5000 Blackmore Rd, Casper, . You can contact this provider via phone number 3072336000 and fax number 3072336089. The mailing address for Jungsook Sue Johnson is 5000 Blackmore Rd, Casper, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jungsook Sue Johnson |
|---|---|
| Address | 5000 Blackmore Rd, Casper, |
| Phone Number | 3072336000 |
| Fax Number | 3072336089 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720061658 |
|---|---|
| Provider Enumeration Date | 2005-11-23 |
| Last Updated Date | 2016-11-09 |
Provider Mailing Address Detail
| Address | 5000 Blackmore Rd |
|---|---|
| City | Casper |
| State | (WY) |
| Post Code | 826093345 |
| Phone Number | 3072336000 |
| Fax Number | 3072336089 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 8832A |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A25227 | CA | MEDICARE ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jungsook Sue Johnson by the Centers for Medicare & Medicaid Services?
The Jungsook Sue Johnson has been assigned the NPI (National Provider Identifier) 1720061658 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jungsook Sue Johnson's facilities are geographically located?
The facilities of Jungsook Sue Johnson are physically situated at the following location: 5000 Blackmore Rd, Casper, WY, 826093345.
What is Jungsook Sue Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jungsook Sue Johnson's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
When did Jungsook Sue Johnson receive its 1720061658 assignment?
The Jungsook Sue Johnson was assigned its 1720061658 on 2005-11-23, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jungsook Sue Johnson last refreshed?
The information related to the Jungsook Sue Johnson, including its address, specialty, and other relevant details, was last updated on 2016-11-09.