Churchill, John Alexander
Churchill, John Alexander is an individual health care provider with primary practice located at 15821 Hollyfern Ct , Ft. Myers FL 33908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Churchill, John Alexander can be contacted via phone (239) 432-5100.Contact Information
Primary practice address
15821 Hollyfern Ct
Ft. Myers FL 33908
Phone: (239) 432-5100
Fax: (239) 432-0629
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME87100 | Florida |
Profile Details
| NPI number | 1245244995 |
|---|---|
| LBN Legal business name | Churchill, John Alexander |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Sep 14th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245244995 | NPPES |
| Florida | Other | 221101 | STAYWELL HEALTHY KIDS |
| Florida | Other | 270843 | STAYWELL HEALTHY KIDS |
| Florida | Other | 7566688-008 | STAYWELL HEALTHY KIDS |
| Florida | Other | 189182 | STAYWELL HEALTHY KIDS |
| Florida | Other | 25519 | STAYWELL HEALTHY KIDS |
| Florida | Other | 4509387 | STAYWELL HEALTHY KIDS |
| Florida | MEDICAID | 267883700 | STAYWELL HEALTHY KIDS |
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