Courtney Eileen Johnson in West Bend - Pediatrics
Courtney Eileen Johnson - NPI 1932213105
Courtney Eileen Johnson is a Pediatrics in West Bend, Wisconsin. Courtney Eileen Johnson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Courtney Eileen Johnson is 1932213105. The last update date is 2007-07-08.
Courtney Eileen Johnson's current location address is 540 Shepherds Dr, West Bend, Wisconsin. You can contact this provider via phone number 2623068450. The mailing address for Courtney Eileen Johnson is 540 Shepherds Dr, West Bend, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Courtney Eileen Johnson |
|---|---|
| Address | 540 Shepherds Dr, West Bend, Wisconsin |
| Phone Number | 2623068450 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1932213105 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 540 Shepherds Dr |
|---|---|
| City | West Bend |
| State | Wisconsin (WI) |
| Post Code | 530908488 |
| Phone Number | 2623068450 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 10639 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Courtney Eileen Johnson by the Centers for Medicare & Medicaid Services?
The Courtney Eileen Johnson has been issued the NPI (National Provider Identifier) 1932213105, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Courtney Eileen Johnson is located?
The Courtney Eileen Johnson is situated at the following address: 540 Shepherds Dr, West Bend, WI, 530908488.
What is Courtney Eileen Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Courtney Eileen Johnson is Pediatrics, and the taxonomy code that categorizes this field of expertise is 2251P0200X.
On what date did the Courtney Eileen Johnson receive its 1932213105 assignment from the Centers for Medicare & Medicaid Services?
The Courtney Eileen Johnson was assigned its 1932213105 by the Centers for Medicare & Medicaid Services on 2006-08-18.
When was the information regarding Courtney Eileen Johnson most recently updated?
The details pertaining to the Courtney Eileen Johnson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.