Alfred Johnson in East Saint Louis - Family Medicine
Alfred Johnson - NPI 1144316431
Alfred Johnson is a Family Medicine in East Saint Louis, Illinois. Alfred Johnson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Alfred Johnson is 1144316431. The last update date is 2021-05-17.
Alfred Johnson's current location address is 6010 Bond Ave, East Saint Louis, Illinois. You can contact this provider via phone number 6183378153 and fax number 6183378905. The mailing address for Alfred Johnson is 6010 Bond Ave, East Saint Louis, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alfred Johnson |
|---|---|
| Address | 6010 Bond Ave, East Saint Louis, Illinois |
| Phone Number | 6183378153 |
| Fax Number | 6183378905 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1144316431 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2021-05-17 |
Provider Mailing Address Detail
| Address | 6010 Bond Ave |
|---|---|
| City | East Saint Louis |
| State | Illinois (IL) |
| Post Code | 622072328 |
| Phone Number | 6183378153 |
| Fax Number | 6183378905 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36086206 |
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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 |
|---|---|---|---|
| 36086206 | IL | -- |
Post Comment/ Review Below
What is the Alfred Johnson's 1144316431?
The Alfred Johnson's NPI (National Provider Identifier) Number is 1144316431. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Alfred Johnson?
The Alfred Johnson is situated at 6010 Bond Ave, in the city of East Saint Louis, state of IL, with the zip code 622072328.
What is Alfred Johnson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Alfred Johnson is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Alfred Johnson receive its 1144316431 assignment from the Centers for Medicare & Medicaid Services?
The Alfred Johnson was assigned its 1144316431 by the Centers for Medicare & Medicaid Services on 2006-10-05.
When was the information pertaining to Alfred Johnson most recently updated or revised?
The details related to Alfred Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2021-05-17.
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