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NPI Code Detail

MEDICARE: DR. WILLIAM JOSEPH JOHN MD

MEDICARE: DR. WILLIAM JOSEPH JOHN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician22113KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00181466OTHERKYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000356642OTHERKYANTHEM BC/BS
450005915OTHERKYPASSPORT
5C66175OTHERKYBLUEGRASS FAMILY HEALTH

General Provider Information

NPI Number : 1366448664
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM JOSEPH JOHN MD
Provider Business Mailing Address
First Line : 216 SOUTHTOWN DR
Second Line :
City : DANVILLE
State : KY
Zip : 40422-2534
Country : US
Telephone Number : 859-236-2203
Fax Number : 859-236-9446
Provider Business Practice Location Address
First Line : 789 EASTERN BYP
Second Line : STE 25
City : RICHMOND
State : KY
Zip : 40475-2421
Country : US
Telephone Number : 859-623-1390
Fax Number : 859-625-0387
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 07/09/2007

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Directions to “ DR. WILLIAM JOSEPH JOHN MD” Practice Location

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