Jon O Humphrey in Carbondale - Sports Medicine
Jon O Humphrey - NPI 1699972893
Jon O Humphrey is a Sports Medicine in Carbondale, Illinois. Jon O Humphrey practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jon O Humphrey is 1699972893. The last update date is 2007-08-20.
Jon O Humphrey's current location address is 305 W Jackson St, Carbondale, Illinois. You can contact this provider via phone number 6184533777 and fax number 6184531102. The mailing address for Jon O Humphrey is 305 W Jackson St, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon O Humphrey |
|---|---|
| Address | 305 W Jackson St, Carbondale, Illinois |
| Phone Number | 6184533777 |
| Fax Number | 6184531102 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1699972893 |
|---|---|
| Provider Enumeration Date | 2007-06-29 |
| Last Updated Date | 2007-08-20 |
Provider Mailing Address Detail
| Address | 305 W Jackson St |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 629011474 |
| Phone Number | 6184533777 |
| Fax Number | 6184531102 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Post Comment/ Review Below
What is the unique identifier code issued to Jon O Humphrey by the Centers for Medicare & Medicaid Services (CMS)?
The Jon O Humphrey has been assigned the NPI (National Provider Identifier) 1699972893. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Jon O Humphrey is located?
The Jon O Humphrey is situated at the following address: 305 W Jackson St, Carbondale, IL, 629011474.
What is Jon O Humphrey's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jon O Humphrey's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qs0010X.
On what date was the 1699972893 assigned to Jon O Humphrey?
The Jon O Humphrey was issued its 1699972893 on 2007-06-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jon O Humphrey most recently updated?
The details pertaining to the Jon O Humphrey, including its address, specialty, and other relevant information, were last refreshed on 2007-08-20.