Dwight Sheldon Jack in Rosedale - General Practice
Dwight Sheldon Jack - NPI 1184883365
Dwight Sheldon Jack is a General Practice in Rosedale, New York. Dwight Sheldon Jack practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dwight Sheldon Jack is 1184883365. The last update date is 2008-06-03.
Dwight Sheldon Jack's current location address is 24123 148th Ave, Rosedale, New York. You can contact this provider via phone number 7187231083 and fax number 7187231083. The mailing address for Dwight Sheldon Jack is 24123 148th Ave, Rosedale, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dwight Sheldon Jack |
|---|---|
| Address | 24123 148th Ave, Rosedale, New York |
| Phone Number | 7187231083 |
| Fax Number | 7187231083 |
| Sole Proprietor | Y |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1184883365 |
|---|---|
| Provider Enumeration Date | 2008-06-03 |
| Last Updated Date | 2008-06-03 |
Provider Mailing Address Detail
| Address | 24123 148th Ave |
|---|---|
| City | Rosedale |
| State | New York (NY) |
| Post Code | 114223265 |
| Phone Number | 7187231083 |
| Fax Number | 7187231083 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 163Wg0000X |
| Licence No | 548498 |
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Definition: A registered nurse who provides general nursing care across health settings. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Dwight Sheldon Jack by the Centers for Medicare & Medicaid Services?
The Dwight Sheldon Jack has been assigned the NPI (National Provider Identifier) 1184883365 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Dwight Sheldon Jack?
The Dwight Sheldon Jack is physically situated at 24123 148Th Ave, in the city of Rosedale, state of NY, with the postal code 114223265.
What is the area of specialization for Dwight Sheldon Jack, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dwight Sheldon Jack is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 163Wg0000X.
When did Dwight Sheldon Jack receive its 1184883365 assignment?
The Dwight Sheldon Jack was assigned its 1184883365 on 2008-06-03, which is the date when this unique identifier was issued to the organization.
When was the Dwight Sheldon Jack's information last updated?
The Dwight Sheldon Jack's information was last updated on 2008-06-03.
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