John R Wine is a Family Medicine in Burkeville, Virginia. John R Wine practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John R Wine is 1427040112. The last update date is 2011-10-15.
John R Wine's current location address is 412 Namozine Street, Burkeville, Virginia. You can contact this provider via phone number 4347674822 and fax number 4347672211. The mailing address for John R Wine is 412 Namozine Street, Burkeville, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John R Wine |
|---|---|
| Address | 412 Namozine Street, Burkeville, Virginia |
| Phone Number | 4347674822 |
| Fax Number | 4347672211 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1427040112 |
|---|---|
| Provider Enumeration Date | 2005-08-18 |
| Last Updated Date | 2011-10-15 |
Provider Mailing Address Detail
| Address | 412 Namozine Street |
|---|---|
| City | Burkeville |
| State | Virginia (VA) |
| Post Code | 23922 |
| Phone Number | 4347674822 |
| Fax Number | 4347672211 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 101029100 |
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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 |
|---|---|---|---|
| 345648 | VA | ANTHEM | |
| 1108312 | VA | CIGNA | |
| 1427040112 | VA | -- | |
| 4468872 | VA | AETNA | |
| 5633419 | VA | -- | |
| 61459602 | VA | BLACK LUNG/FECA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to John R Wine by the Centers for Medicare & Medicaid Services?
The John R Wine has been assigned the NPI (National Provider Identifier) 1427040112 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where John R Wine is physically located?
The John R Wine is situated at the following address: 412 Namozine Street, Burkeville, VA 23922.
What is John R Wine's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John R Wine is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1427040112 to John R Wine?
The Centers for Medicare & Medicaid Services originally issued the 1427040112 to John R Wine on 2005-08-18.
When was the information regarding John R Wine, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to John R Wine, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-10-15.