Charles Marvin Johnson in Detroit - Podiatrist

Charles Marvin Johnson - NPI 1245327543

Charles Marvin Johnson is a Podiatrist in Detroit, Michigan. Charles Marvin Johnson practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Charles Marvin Johnson is 1245327543. The last update date is 2009-02-05.

Charles Marvin Johnson's current location address is 10244 W 7 Mile Rd, Detroit, Michigan. You can contact this provider via phone number 3138625800 and fax number 3138622865. The mailing address for Charles Marvin Johnson is 10244 W 7 Mile Rd, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Marvin Johnson
Address 10244 W 7 Mile Rd, Detroit, Michigan
Phone Number 3138625800
Fax Number 3138622865
Sole Proprietor N
Credentials D.P.M.

NPI Number Detail

NPI Number 1245327543
Provider Enumeration Date 2006-10-06
Last Updated Date 2009-02-05

Provider Mailing Address Detail

Address 10244 W 7 Mile Rd
City Detroit
State Michigan (MI)
Post Code 482211904
Phone Number 3138625800
Fax Number 3138622865

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 5901001211
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CJ001211 MI LICENSE NUMBER
480H232610 MI BLUE CROSS
4866541 MI --
4858250260 MI BCBSM

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FAQs about Charles Marvin Johnson

What is the unique identifier code issued to Charles Marvin Johnson by the Centers for Medicare & Medicaid Services?

The Charles Marvin Johnson has been assigned the NPI (National Provider Identifier) 1245327543. 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 share the complete physical address where Charles Marvin Johnson is geographically located?

The Charles Marvin Johnson is physically situated at the following location: 10244 W 7 Mile Rd, Detroit, MI, 482211904.

What is the Charles Marvin Johnson's area of specialization and corresponding taxonomy classification?

The Charles Marvin Johnson's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1245327543 to Charles Marvin Johnson?

The Charles Marvin Johnson received its 1245327543 assignment from the Centers for Medicare & Medicaid Services on 2006-10-06.

When was the information regarding Charles Marvin Johnson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Charles Marvin Johnson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-02-05.

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