John Bradley Shinn in San Jose - Otolaryngology

John Bradley Shinn - NPI 1619072295

John Bradley Shinn is a Otolaryngology in San Jose, California. John Bradley Shinn practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for John Bradley Shinn is 1619072295. The last update date is 2012-02-27.

John Bradley Shinn's current location address is 751 S Bascom Ave, San Jose, California. You can contact this provider via phone number 4088856767. The mailing address for John Bradley Shinn is 751 S Bascom Ave, San Jose, California. To know further, please read the information below!

Provider Profile Detail

Provider Name John Bradley Shinn
Address 751 S Bascom Ave, San Jose, California
Phone Number 4088856767
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1619072295
Provider Enumeration Date 2006-09-14
Last Updated Date 2012-02-27

Provider Mailing Address Detail

Address 751 S Bascom Ave
City San Jose
State California (CA)
Post Code 951282604
Phone Number 4088856767
Fax Number

Provider's Primary Taxonomy Detail

Speciality Otolaryngology
Taxonomy 207Y00000X
Licence No C29379
Definition:
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00C293790 CA --

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FAQs about John Bradley Shinn

What is the unique 10-digit identifier code assigned to John Bradley Shinn by the Centers for Medicare & Medicaid Services?

The John Bradley Shinn has been issued the NPI (National Provider Identifier) 1619072295 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of John Bradley Shinn?

The John Bradley Shinn is situated at 751 S Bascom Ave, in the city of San Jose, state of CA, with the zip code 951282604.

What is John Bradley Shinn's specialized field of practice, and what is the corresponding taxonomy classification code?

The John Bradley Shinn's area of specialization is Otolaryngology, and the corresponding taxonomy code that categorizes this field of practice is 207Y00000X.

On what date was the 1619072295 assigned to John Bradley Shinn?

The John Bradley Shinn was issued its 1619072295 on 2006-09-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to John Bradley Shinn, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to John Bradley Shinn, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-02-27.

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