Andrew John Ninichuck in Bonne Terre - General Practice
Andrew John Ninichuck - NPI 1609841956
Andrew John Ninichuck is a General Practice in Bonne Terre, Missouri. Andrew John Ninichuck practices all healthcare services and medical treatments related to General Practice. The NPI Number for Andrew John Ninichuck is 1609841956. The last update date is 2015-11-10.
Andrew John Ninichuck's current location address is 527 Benham St, Bonne Terre, Missouri. You can contact this provider via phone number 5733589119 and fax number 5733589489. The mailing address for Andrew John Ninichuck is 527 Benham St, Bonne Terre, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew John Ninichuck |
|---|---|
| Address | 527 Benham St, Bonne Terre, Missouri |
| Phone Number | 5733589119 |
| Fax Number | 5733589489 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1609841956 |
|---|---|
| Provider Enumeration Date | 2006-02-21 |
| Last Updated Date | 2015-11-10 |
Provider Mailing Address Detail
| Address | 527 Benham St |
|---|---|
| City | Bonne Terre |
| State | Missouri (MO) |
| Post Code | 636281205 |
| Phone Number | 5733589119 |
| Fax Number | 5733589489 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 102387 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1609841956 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Andrew John Ninichuck by the Centers for Medicare & Medicaid Services?
The Andrew John Ninichuck has been assigned the NPI (National Provider Identifier) 1609841956. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Andrew John Ninichuck is physically located?
The Andrew John Ninichuck is physically situated at the following address: 527 Benham St, Bonne Terre, MO, 636281205.
What is Andrew John Ninichuck's specialized field of practice, and what is the corresponding taxonomy classification code?
The Andrew John Ninichuck's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.
When was the Andrew John Ninichuck's 1609841956 issued?
The Andrew John Ninichuck's 1609841956 was issued on 2006-02-21.
As of what date were the details related to Andrew John Ninichuck most recently updated or revised?
The information pertaining to Andrew John Ninichuck, including its address, specialty, and other relevant details, was last updated or revised on 2015-11-10.