John M Wubbenhorst in Lees Summit - Child & Adolescent Psychiatry
John M Wubbenhorst - NPI 1295744605
John M Wubbenhorst is a Child & Adolescent Psychiatry in Lees Summit, Missouri. John M Wubbenhorst practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for John M Wubbenhorst is 1295744605. The last update date is 2007-07-08.
John M Wubbenhorst's current location address is 901 Ne Independence Ave, Lees Summit, Missouri. You can contact this provider via phone number 8162468000 and fax number 8162468207. The mailing address for John M Wubbenhorst is 901 Ne Independence Ave, Lees Summit, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John M Wubbenhorst |
|---|---|
| Address | 901 Ne Independence Ave, Lees Summit, Missouri |
| Phone Number | 8162468000 |
| Fax Number | 8162468207 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1295744605 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 901 Ne Independence Ave |
|---|---|
| City | Lees Summit |
| State | Missouri (MO) |
| Post Code | 640865544 |
| Phone Number | 8162468000 |
| Fax Number | 8162468207 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 2004007620 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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What is the unique identifier code issued to John M Wubbenhorst by the Centers for Medicare & Medicaid Services?
The John M Wubbenhorst has been assigned the NPI (National Provider Identifier) 1295744605. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the John M Wubbenhorst located?
The John M Wubbenhorst is located at 901 Ne Independence Ave, Lees Summit, MO 640865544.
What is the John M Wubbenhorst's specialty and taxonomy code?
The John M Wubbenhorst's specialty is Child & Adolescent Psychiatry, and the corresponding taxonomy code is 2084P0804X.
On what date did the John M Wubbenhorst receive its 1295744605 assignment from the Centers for Medicare & Medicaid Services?
The John M Wubbenhorst was assigned its 1295744605 by the Centers for Medicare & Medicaid Services on 2006-08-05.
As of what date were the details related to John M Wubbenhorst most recently updated or revised?
The information pertaining to John M Wubbenhorst, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.