John Joseph Doherty is a Sports in Munster, Indiana. John Joseph Doherty practices all healthcare services and medical treatments related to Sports. The NPI Number for John Joseph Doherty is 1700079837. The last update date is 2007-08-22.
John Joseph Doherty's current location address is 1950 45th Ave, Munster, Indiana. You can contact this provider via phone number 2199228188 and fax number 2199228502. The mailing address for John Joseph Doherty is 1950 45th Ave, Munster, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Joseph Doherty |
|---|---|
| Address | 1950 45th Ave, Munster, Indiana |
| Phone Number | 2199228188 |
| Fax Number | 2199228502 |
| Sole Proprietor | N |
| Credentials | P.T., A.T. |
NPI Number Detail
| NPI Number | 1700079837 |
|---|---|
| Provider Enumeration Date | 2007-08-22 |
| Last Updated Date | 2007-08-22 |
Provider Mailing Address Detail
| Address | 1950 45th Ave |
|---|---|
| City | Munster |
| State | Indiana (IN) |
| Post Code | 463213917 |
| Phone Number | 2199228188 |
| Fax Number | 2199228502 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 05001844A |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to John Joseph Doherty by the Centers for Medicare & Medicaid Services?
The John Joseph Doherty has been assigned the NPI (National Provider Identifier) 1700079837 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where John Joseph Doherty's facilities are situated?
The facilities of John Joseph Doherty are physically located at the following address: 1950 45Th Ave, Munster, IN, 463213917.
What is the John Joseph Doherty's area of specialization and corresponding taxonomy classification?
The John Joseph Doherty's specialty field is Sports, and it falls under the taxonomy code 2251S0007X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700079837 to John Joseph Doherty?
The Centers for Medicare & Medicaid Services originally issued the 1700079837 to John Joseph Doherty on 2007-08-22.
When was the John Joseph Doherty's information last updated?
The John Joseph Doherty's information was last updated on 2007-08-22.
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