Eden Enriquez Johnson in Independence - Addiction Psychiatry
Eden Enriquez Johnson - NPI 1942263769
Eden Enriquez Johnson is a Addiction Psychiatry in Independence, Missouri. Eden Enriquez Johnson practices all healthcare services and medical treatments related to Addiction Psychiatry. The NPI Number for Eden Enriquez Johnson is 1942263769. The last update date is 2007-07-08.
Eden Enriquez Johnson's current location address is 4041 Lynn Court Drive, Independence, Missouri. You can contact this provider via phone number 9286063887. The mailing address for Eden Enriquez Johnson is 4041 Lynn Court Drive, Independence, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eden Enriquez Johnson |
|---|---|
| Address | 4041 Lynn Court Drive, Independence, Missouri |
| Phone Number | 9286063887 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1942263769 |
|---|---|
| Provider Enumeration Date | 2006-04-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4041 Lynn Court Drive |
|---|---|
| City | Independence |
| State | Missouri (MO) |
| Post Code | 64055 |
| Phone Number | 9286063887 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Psychiatry |
|---|---|
| Taxonomy | 2084P0802X |
| Licence No | A18019 |
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Definition: Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric d |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Eden Enriquez Johnson by the Centers for Medicare & Medicaid Services?
The Eden Enriquez Johnson has been issued the NPI (National Provider Identifier) 1942263769 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Eden Enriquez Johnson's facilities are geographically located?
The facilities of Eden Enriquez Johnson are physically situated at the following location: 4041 Lynn Court Drive, Independence, MO, 64055.
What is Eden Enriquez Johnson'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 Eden Enriquez Johnson is Addiction Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0802X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942263769 to Eden Enriquez Johnson?
The Centers for Medicare & Medicaid Services originally issued the 1942263769 to Eden Enriquez Johnson on 2006-04-11.
When was the information regarding Eden Enriquez Johnson most recently updated?
The details pertaining to the Eden Enriquez Johnson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.