John C Hendricks in Kalamazoo - Ophthalmology

John C Hendricks - NPI 1902849029

John C Hendricks is a Ophthalmology in Kalamazoo, Michigan. John C Hendricks practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for John C Hendricks is 1902849029. The last update date is 2014-12-15.

John C Hendricks's current location address is 601 John St, Kalamazoo, Michigan. You can contact this provider via phone number 2694882626 and fax number 2694882625. The mailing address for John C Hendricks is 601 John St, Kalamazoo, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name John C Hendricks
Address 601 John St, Kalamazoo, Michigan
Phone Number 2694882626
Fax Number 2694882625
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1902849029
Provider Enumeration Date 2006-06-14
Last Updated Date 2014-12-15

Provider Mailing Address Detail

Address 601 John St
City Kalamazoo
State Michigan (MI)
Post Code 490075341
Phone Number 2694882626
Fax Number 2694882625

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No 4301033379
Definition:
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
107985 GREAT LAKES HLTH PLAN
4999314 MI --
5276514 AETNA PIN
1803968251 MI BCBS PIN
4238221-10 MI --

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FAQs about John C Hendricks

What is the John C Hendricks's unique identification number?

The John C Hendricks has been assigned the NPI (National Provider Identifier) Number 1902849029 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of John C Hendricks?

The John C Hendricks is physically situated at 601 John St, in the city of Kalamazoo, state of MI, with the postal code 490075341.

What is the John C Hendricks's area of specialization and corresponding taxonomy classification?

The John C Hendricks's specialty field is Ophthalmology, and it falls under the taxonomy code 207W00000X, which categorizes healthcare providers based on their specialties.

On what date did the John C Hendricks receive its 1902849029 assignment from the Centers for Medicare & Medicaid Services?

The John C Hendricks was assigned its 1902849029 by the Centers for Medicare & Medicaid Services on 2006-06-14.

As of what date were the details related to John C Hendricks most recently updated or revised?

The information pertaining to John C Hendricks, including its address, specialty, and other relevant details, was last updated or revised on 2014-12-15.

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