Jackson W Lind Llc in Fargo - Prescribing (medical)
Jackson W Lind Llc - NPI 1427245372
Jackson W Lind Llc is a Prescribing (medical) in Fargo, North Dakota. Jackson W Lind Llc practices all healthcare services and medical treatments related to Prescribing (medical). The NPI Number for Jackson W Lind Llc is 1427245372. The last update date is 2007-10-10.
Jackson W Lind Llc's current location address is 2301 25th St S, Fargo, North Dakota. You can contact this provider via phone number 7012419300 and fax number 7012354525. The mailing address for Jackson W Lind Llc is 2301 25th St S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson W Lind Llc |
|---|---|
| Address | 2301 25th St S, Fargo, North Dakota |
| Phone Number | 7012419300 |
| Fax Number | 7012354525 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lind W Jackson |
| Credentials | M.D. |
| Telephone Number | 7012419300 |
NPI Number Detail
| NPI Number | 1427245372 |
|---|---|
| Provider Enumeration Date | 2007-09-25 |
| Last Updated Date | 2007-10-10 |
Provider Mailing Address Detail
| Address | 2301 25th St S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581036104 |
| Phone Number | 7012419300 |
| Fax Number | 7012354525 |
Provider's Primary Taxonomy Detail
| Speciality | Prescribing (medical) |
|---|---|
| Taxonomy | 103Tp0016X |
| Licence No | 2756 |
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Definition: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18654 | ND | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jackson W Lind Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Jackson W Lind Llc has been assigned the NPI (National Provider Identifier) 1427245372. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Jackson W Lind Llc is physically located?
The Jackson W Lind Llc is physically situated at the following address: 2301 25Th St S, Fargo, ND, 581036104.
What is Jackson W Lind Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jackson W Lind Llc is Prescribing (medical), and the corresponding taxonomy classification code for this specialized field is 103Tp0016X.
On what date was the 1427245372 assigned to Jackson W Lind Llc?
The Jackson W Lind Llc was issued its 1427245372 on 2007-09-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Jackson W Lind Llc's information last updated?
The Jackson W Lind Llc's information was last updated on 2007-10-10.
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