Johnny Bear in Mooresville - Internal Medicine

Johnny Bear - NPI 1376597112

Johnny Bear is a Internal Medicine in Mooresville, Indiana. Johnny Bear practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Johnny Bear is 1376597112. The last update date is 2016-03-18.

Johnny Bear's current location address is 1001 Hadley Rd # Ll050, Mooresville, Indiana. You can contact this provider via phone number 3178341010 and fax number 3178341015. The mailing address for Johnny Bear is 1001 Hadley Rd # Ll050, Mooresville, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Johnny Bear
Address 1001 Hadley Rd # Ll050, Mooresville, Indiana
Phone Number 3178341010
Fax Number 3178341015
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1376597112
Provider Enumeration Date 2006-05-19
Last Updated Date 2016-03-18

Provider Mailing Address Detail

Address 1001 Hadley Rd # Ll050
City Mooresville
State Indiana (IN)
Post Code 461581883
Phone Number 3178341010
Fax Number 3178341015

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 01036151A
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100408400A IN --

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FAQs about Johnny Bear

What is the unique provider identifier assigned to Johnny Bear?

The Johnny Bear has been issued the NPI (National Provider Identifier) 1376597112 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Johnny Bear is geographically located?

The Johnny Bear is physically situated at the following location: 1001 Hadley Rd # Ll050, Mooresville, IN, 461581883.

When did Johnny Bear receive its 1376597112 assignment?

The Johnny Bear was assigned its 1376597112 on 2006-05-19, which is the date when this unique identifier was issued to the organization.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1376597112 to Johnny Bear?

The Centers for Medicare & Medicaid Services originally issued the 1376597112 to Johnny Bear on 2006-05-19.

As of what date were the details pertaining to Johnny Bear last refreshed?

The information related to the Johnny Bear, including its address, specialty, and other relevant details, was last updated on 2016-03-18.

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