John Michael Neidecker in Wake Forest - Family Medicine
John Michael Neidecker - NPI 1821289174
John Michael Neidecker is a Family Medicine in Wake Forest, North Carolina. John Michael Neidecker practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John Michael Neidecker is 1821289174. The last update date is 2018-03-17.
John Michael Neidecker's current location address is Po Box 1107, Wake Forest, North Carolina. You can contact this provider via phone number 9195629410 and fax number 9195622948. The mailing address for John Michael Neidecker is Po Box 1107, Wake Forest, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Michael Neidecker |
|---|---|
| Address | Po Box 1107, Wake Forest, North Carolina |
| Phone Number | 9195629410 |
| Fax Number | 9195622948 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1821289174 |
|---|---|
| Provider Enumeration Date | 2007-08-01 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | Po Box 1107 |
|---|---|
| City | Wake Forest |
| State | North Carolina (NC) |
| Post Code | 275881107 |
| Phone Number | 9195629410 |
| Fax Number | 9195622948 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 207Q00000X |
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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 |
|---|---|---|---|
| MB08631900 | NJ | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John Michael Neidecker by the Centers for Medicare & Medicaid Services?
The John Michael Neidecker has been issued the NPI (National Provider Identifier) 1821289174 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of John Michael Neidecker?
The John Michael Neidecker is physically situated at Po Box 1107, in the city of Wake Forest, state of NC, with the postal code 275881107.
What is the area of specialization for John Michael Neidecker, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John Michael Neidecker is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the John Michael Neidecker receive its 1821289174 assignment from the Centers for Medicare & Medicaid Services?
The John Michael Neidecker was assigned its 1821289174 by the Centers for Medicare & Medicaid Services on 2007-08-01.
When was the John Michael Neidecker's information last updated?
The John Michael Neidecker's information was last updated on 2018-03-17.