Jonathon P State in Birmingham - Family Medicine
Jonathon P State - NPI 1376595066
Jonathon P State is a Family Medicine in Birmingham, Michigan. Jonathon P State practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jonathon P State is 1376595066. The last update date is 2011-05-06.
Jonathon P State's current location address is 757 Vinewood, Birmingham, Michigan. You can contact this provider via phone number 2486446029 and fax number 5192587896. The mailing address for Jonathon P State is 757 Vinewood, Birmingham, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathon P State |
|---|---|
| Address | 757 Vinewood, Birmingham, Michigan |
| Phone Number | 2486446029 |
| Fax Number | 5192587896 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1376595066 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2011-05-06 |
Provider Mailing Address Detail
| Address | 757 Vinewood |
|---|---|
| City | Birmingham |
| State | Michigan (MI) |
| Post Code | 48009 |
| Phone Number | 2486446029 |
| Fax Number | 5192587896 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 4301074553 |
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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 |
|---|---|---|---|
| 4301074553 | MI | PHYSICIAN LICENSE | |
| C7104 | MI | MCARE | |
| CC3713 | MI | RR MEDICARE | |
| 127456 | MI | MERCY CARE CHOICES | |
| 700H21076 | MI | BCBSM | |
| 1591463 | MI | CIGNA | |
| 1730121 | MI | UHC | |
| 4120366 | MI | -- | |
| 5228630 | MI | AETNA |
Post Comment/ Review Below
What is the unique identification code assigned to Jonathon P State by the Centers for Medicare & Medicaid Services?
The Jonathon P State has been issued the NPI (National Provider Identifier) 1376595066. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jonathon P State's facilities are situated?
The facilities of Jonathon P State are physically located at the following address: 757 Vinewood, Birmingham, MI, 48009.
What is Jonathon P State's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jonathon P State is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date was the 1376595066 assigned to Jonathon P State?
The Jonathon P State was issued its 1376595066 on 2006-05-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jonathon P State's details last updated?
The information pertaining to the Jonathon P State, including its address, specialty, and other details, was most recently updated on 2011-05-06.