John T Chmelicek in Hattiesburg - Family Medicine

John T Chmelicek - NPI 1669488490

John T Chmelicek is a Family Medicine in Hattiesburg, Mississippi. John T Chmelicek practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John T Chmelicek is 1669488490. The last update date is 2008-04-08.

John T Chmelicek's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6017948065 and fax number 6017945650. The mailing address for John T Chmelicek is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name John T Chmelicek
Address 415 S 28th Ave, Hattiesburg, Mississippi
Phone Number 6017948065
Fax Number 6017945650
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1669488490
Provider Enumeration Date 2006-08-01
Last Updated Date 2008-04-08

Provider Mailing Address Detail

Address 415 S 28th Ave
City Hattiesburg
State Mississippi (MS)
Post Code 394017246
Phone Number 6017948065
Fax Number 6017945650

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 13049
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1677841 LA --
110831 MS --
1558928 MS AMERICAN ADMIN GROUP

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FAQs about John T Chmelicek

What is the unique identification code assigned to John T Chmelicek by the Centers for Medicare & Medicaid Services?

The John T Chmelicek has been issued the NPI (National Provider Identifier) 1669488490. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of John T Chmelicek?

The John T Chmelicek is physically situated at 415 S 28Th Ave, in the city of Hattiesburg, state of MS, with the postal code 394017246.

What is John T Chmelicek's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John T Chmelicek's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

When did the John T Chmelicek receive its 1669488490?

The John T Chmelicek was issued its 1669488490 on 2006-08-01, which is the date when the organization was assigned this unique identifier.

When was the information related to John T Chmelicek most recently updated or refreshed?

The details pertaining to the John T Chmelicek, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-08.

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