Bogale Jima is a Family Medicine in Midlothian, Virginia. Bogale Jima practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bogale Jima is 1922093806. The last update date is 2022-01-20.
Bogale Jima's current location address is 13861 Hull Street Rd, Midlothian, Virginia. You can contact this provider via phone number 8047390910 and fax number 8047392763. The mailing address for Bogale Jima is 13861 Hull Street Rd, Midlothian, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bogale Jima |
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Address | 13861 Hull Street Rd, Midlothian, Virginia |
Phone Number | 8047390910 |
Fax Number | 8047392763 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1922093806 |
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Provider Enumeration Date | 2005-09-15 |
Last Updated Date | 2022-01-20 |
Provider Mailing Address Detail
Address | 13861 Hull Street Rd |
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City | Midlothian |
State | Virginia (VA) |
Post Code | 231122091 |
Phone Number | 8047390910 |
Fax Number | 8047392763 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 101057119 |
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 |
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5631408 | VA | -- | |
541717999 | VA | TAX ID |
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What is the unique 10-digit identification code assigned to Bogale Jima by the Centers for Medicare & Medicaid Services?
The Bogale Jima has been issued the NPI (National Provider Identifier) 1922093806, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Bogale Jima's physical address?
The Bogale Jima is physically located at 13861 Hull Street Rd, in the city of Midlothian, VA, with the postal code 231122091.
What is Bogale Jima's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bogale Jima is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
When did the Bogale Jima receive its 1922093806?
The Bogale Jima was issued its 1922093806 on 2005-09-15, which is the date when the organization was assigned this unique identifier.
When was the information regarding Bogale Jima most recently updated?
The details pertaining to the Bogale Jima, including its address, specialty, and other relevant information, were last refreshed on 2022-01-20.