| Rehab P.c. | |
|
1146 Washington Sq Evansville IN 47715-6809 | |
| (812) 425-2662 | |
| Not Available |
| Full Name | Rehab P.c. |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1146 Washington Sq, Evansville, Indiana |
| Authorized Official Name and Position | David W Johnson (OWNER) |
| Authorized Official Contact | 8124252662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rehab P.c. Po Box 3276 Evansville IN 47731-3276 Ph: (812) 473-0181 | Rehab P.c. 1146 Washington Sq Evansville IN 47715-6809 Ph: (812) 425-2662 |
| NPI Number | 1457870867 |
|---|---|
| Provider Enumeration Date | 09/18/2017 |
| Last Update Date | 11/05/2020 |
| Certification Date | 11/05/2020 |
| Medicare PECOS PAC ID | 7315297504 |
|---|---|
| Medicare Enrollment ID | O20180910001516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457870867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | David William Johnson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902836174 PECOS PAC ID: 5597067116 Enrollment ID: I20180109002385 |
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