Doctor Name: | DR. JILL ELLEN EMERICK |
NPI Number: | 1588640163 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 23131 |
Business Practice Address: | United States Naval Hospital Okinawa Psc 482 Box 2658 Fpo, AP - 96362 |
Business Phone Number: | 011816117437304 |
Business Fax Number: | 011816117437577 |
Mailing Address: | United States Naval Hospital Okinawa, Psc 482 Box 2658 FPO |
State: | AP |
Postal Code: | 96362 |
Phone Number: | 011816117437304 |
Fax Number: | 011816117437577 |
NPI Enumeration Date: | 12/15/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | 23131 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |