John A Declue is a Family Medicine in Owensville, Missouri. John A Declue practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John A Declue is 1235104886. The last update date is 2014-08-07.
John A Declue's current location address is 3536 Kuhne Rd, Owensville, Missouri. You can contact this provider via phone number 5734374168 and fax number 5734374242. The mailing address for John A Declue is 3536 Kuhne Rd, Owensville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John A Declue |
|---|---|
| Address | 3536 Kuhne Rd, Owensville, Missouri |
| Phone Number | 5734374168 |
| Fax Number | 5734374242 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1235104886 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2014-08-07 |
Provider Mailing Address Detail
| Address | 3536 Kuhne Rd |
|---|---|
| City | Owensville |
| State | Missouri (MO) |
| Post Code | 650662573 |
| Phone Number | 5734374168 |
| Fax Number | 5734374242 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 2014010401 |
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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 |
|---|---|---|---|
| 480095 | GA | BLUECROSSBLUESHIELD | |
| 1235104886 | MO | -- | |
| 124920003 | MO | MEDICARE PTAN | |
| 00571326F | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to John A Declue by the Centers for Medicare & Medicaid Services?
The John A Declue has been assigned the NPI (National Provider Identifier) 1235104886 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where John A Declue is physically located?
The John A Declue is physically situated at the following address: 3536 Kuhne Rd, Owensville, MO, 650662573.
What is John A Declue's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John A Declue's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1235104886 to John A Declue?
The John A Declue received its 1235104886 assignment from the Centers for Medicare & Medicaid Services on 2006-02-17.
As of what date was the information pertaining to John A Declue, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John A Declue, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-08-07.