John Ellis Conley is a Psychiatry in Trinity, Florida. John Ellis Conley practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for John Ellis Conley is 1063537249. The last update date is 2009-11-02.
John Ellis Conley's current location address is 2152 Gold Dust Ct, Trinity, Florida. You can contact this provider via phone number 7273758619. The mailing address for John Ellis Conley is 2152 Gold Dust Ct, Trinity, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Ellis Conley |
|---|---|
| Address | 2152 Gold Dust Ct, Trinity, Florida |
| Phone Number | 7273758619 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063537249 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2009-11-02 |
Provider Mailing Address Detail
| Address | 2152 Gold Dust Ct |
|---|---|
| City | Trinity |
| State | Florida (FL) |
| Post Code | 346555015 |
| Phone Number | 7273758619 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 23641 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11388A | FL | FL MEDICARE B PROVIDER NUMBER | |
| 270964300 | FL | -- |
Post Comment/ Review Below
What is the John Ellis Conley's unique identification number?
The John Ellis Conley has been assigned the NPI (National Provider Identifier) Number 1063537249 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 street address where John Ellis Conley is physically located?
The John Ellis Conley is physically situated at the following address: 2152 Gold Dust Ct, Trinity, FL, 346555015.
What is the John Ellis Conley's specialty and taxonomy code?
The John Ellis Conley's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
On what date did the John Ellis Conley receive the assignment of its 1063537249 from the Centers for Medicare & Medicaid Services?
The John Ellis Conley was issued its 1063537249 by the Centers for Medicare & Medicaid Services on 2007-03-20.
As of what date was the information pertaining to John Ellis Conley, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Ellis Conley, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-11-02.
NPI Number: 1023011681
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