Burt Powers Johnson in Wilmington - Psychiatry
Burt Powers Johnson - NPI 1043387459
Burt Powers Johnson is a Psychiatry in Wilmington, North Carolina. Burt Powers Johnson practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Burt Powers Johnson is 1043387459. The last update date is 2007-07-08.
Burt Powers Johnson's current location address is 1009 Creekside Ln, Wilmington, North Carolina. You can contact this provider via phone number 9106811161 and fax number 9102516511. The mailing address for Burt Powers Johnson is 1009 Creekside Ln, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Burt Powers Johnson |
|---|---|
| Address | 1009 Creekside Ln, Wilmington, North Carolina |
| Phone Number | 9106811161 |
| Fax Number | 9102516511 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1043387459 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1009 Creekside Ln |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284117656 |
| Phone Number | 9106811161 |
| Fax Number | 9102516511 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 20408 |
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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 |
|---|---|---|---|
| 89136KH | NC | -- | |
| 136KH | NC | BLUE CROSS NORTH CAROLINA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Burt Powers Johnson by the Centers for Medicare & Medicaid Services?
The Burt Powers Johnson has been assigned the NPI (National Provider Identifier) 1043387459 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Burt Powers Johnson's facilities are situated?
The facilities of Burt Powers Johnson are physically located at the following address: 1009 Creekside Ln, Wilmington, NC, 284117656.
What is the Burt Powers Johnson's specialty and taxonomy code?
The Burt Powers Johnson's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
When did Burt Powers Johnson receive its 1043387459 assignment?
The Burt Powers Johnson was assigned its 1043387459 on 2006-11-29, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Burt Powers Johnson most recently updated or revised?
The information pertaining to Burt Powers Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.