Susie A John is a Adolescent Medicine in Shiprock, New Mexico. Susie A John practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Susie A John is 1194714956. The last update date is 2007-12-26.
Susie A John's current location address is Po Box 160, Shiprock, New Mexico. You can contact this provider via phone number 5053686401 and fax number 5053686431. The mailing address for Susie A John is Po Box 160, Shiprock, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susie A John |
|---|---|
| Address | Po Box 160, Shiprock, New Mexico |
| Phone Number | 5053686401 |
| Fax Number | 5053686431 |
| Sole Proprietor | N |
| Credentials | MD MPH |
NPI Number Detail
| NPI Number | 1194714956 |
|---|---|
| Provider Enumeration Date | 2005-10-14 |
| Last Updated Date | 2007-12-26 |
Provider Mailing Address Detail
| Address | Po Box 160 |
|---|---|
| City | Shiprock |
| State | New Mexico (NM) |
| Post Code | 874200160 |
| Phone Number | 5053686401 |
| Fax Number | 5053686431 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 85216 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30487064 | CO | -- | |
| 35568 | NM | -- | |
| 939572 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Susie A John by the Centers for Medicare & Medicaid Services?
The Susie A John has been assigned the NPI (National Provider Identifier) 1194714956 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Susie A John?
The Susie A John is physically situated at Po Box 160, in the city of Shiprock, state of NM, with the postal code 874200160.
What is the Susie A John's area of specialization and corresponding taxonomy classification?
The Susie A John's specialty field is Adolescent Medicine, and it falls under the taxonomy code 2080A0000X, which categorizes healthcare providers based on their specialties.
When was the Susie A John's 1194714956 issued?
The Susie A John's 1194714956 was issued on 2005-10-14.
As of what date was the information regarding Susie A John, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susie A John, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-12-26.
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