Alicia Ann Johnson in Bloomingdale - Physician Assistant
Alicia Ann Johnson - NPI 1629020672
Alicia Ann Johnson is a Physician Assistant in Bloomingdale, Illinois. Alicia Ann Johnson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Alicia Ann Johnson is 1629020672. The last update date is 2016-05-09.
Alicia Ann Johnson's current location address is 121 Fairfield Way Ste 207, Bloomingdale, Illinois. You can contact this provider via phone number 6305297427 and fax number 6305299937. The mailing address for Alicia Ann Johnson is 121 Fairfield Way Ste 207, Bloomingdale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alicia Ann Johnson |
|---|---|
| Address | 121 Fairfield Way Ste 207, Bloomingdale, Illinois |
| Phone Number | 6305297427 |
| Fax Number | 6305299937 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1629020672 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2016-05-09 |
Provider Mailing Address Detail
| Address | 121 Fairfield Way Ste 207 |
|---|---|
| City | Bloomingdale |
| State | Illinois (IL) |
| Post Code | 6010815590 |
| Phone Number | 6305297427 |
| Fax Number | 6305299937 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 102729 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the Alicia Ann Johnson's 1629020672?
The Alicia Ann Johnson's NPI (National Provider Identifier) Number is 1629020672. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Alicia Ann Johnson located?
The Alicia Ann Johnson is located at 121 Fairfield Way Ste 207, Bloomingdale, IL 6010815590.
What is the Alicia Ann Johnson's area of specialization and corresponding taxonomy classification?
The Alicia Ann Johnson's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did Alicia Ann Johnson receive its 1629020672 assignment from the Centers for Medicare & Medicaid Services?
The Alicia Ann Johnson was assigned its 1629020672 on 2006-05-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Alicia Ann Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Alicia Ann Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-05-09.