Jonathan D Woolery in Grand Terrace - Emergency Medical Services

Jonathan D Woolery - NPI 1891959730

Jonathan D Woolery is a Emergency Medical Services in Grand Terrace, California. Jonathan D Woolery practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for Jonathan D Woolery is 1891959730. The last update date is 2023-08-09.

Jonathan D Woolery's current location address is 22400 Barton Rd # 21-301, Grand Terrace, California. You can contact this provider via phone number 9493788250 and fax number 7145392131. The mailing address for Jonathan D Woolery is 22400 Barton Rd # 21-301, Grand Terrace, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan D Woolery
Address 22400 Barton Rd # 21-301, Grand Terrace, California
Phone Number 9493788250
Fax Number 7145392131
Sole Proprietor N
Credentials MD, MPH, M

NPI Number Detail

NPI Number 1891959730
Provider Enumeration Date 2008-07-10
Last Updated Date 2023-08-09

Provider Mailing Address Detail

Address 22400 Barton Rd # 21-301
City Grand Terrace
State California (CA)
Post Code 923135030
Phone Number 9493788250
Fax Number 7145392131

Provider's Primary Taxonomy Detail

Speciality Emergency Medical Services
Taxonomy 207Pe0004X
Licence No 37062
Definition:
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2008018595 MO MISSOURI LICENSE

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FAQs about Jonathan D Woolery

What is the unique provider identifier assigned to Jonathan D Woolery?

The Jonathan D Woolery has been issued the NPI (National Provider Identifier) 1891959730 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Jonathan D Woolery is physically located?

The Jonathan D Woolery is situated at the following address: 22400 Barton Rd # 21-301, Grand Terrace, CA 923135030.

What is Jonathan D Woolery's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jonathan D Woolery is Emergency Medical Services, and the taxonomy classification code that categorizes this area of expertise is 207Pe0004X.

On what date did the Jonathan D Woolery receive the assignment of its 1891959730 from the Centers for Medicare & Medicaid Services?

The Jonathan D Woolery was issued its 1891959730 by the Centers for Medicare & Medicaid Services on 2008-07-10.

As of what date were the details related to Jonathan D Woolery most recently updated or revised?

The information pertaining to Jonathan D Woolery, including its address, specialty, and other relevant details, was last updated or revised on 2023-08-09.

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