David M. Jackson is a Specialist in Phoenix, Arizona. David M. Jackson practices all healthcare services and medical treatments related to Specialist. The NPI Number for David M. Jackson is 1144364696. The last update date is 2014-12-23.
David M. Jackson's current location address is 18444 N 25th Ave, Phoenix, Arizona. You can contact this provider via phone number 8669742673 and fax number 8669392673. The mailing address for David M. Jackson is 18444 N 25th Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David M. Jackson |
|---|---|
| Address | 18444 N 25th Ave, Phoenix, Arizona |
| Phone Number | 8669742673 |
| Fax Number | 8669392673 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1144364696 |
|---|---|
| Provider Enumeration Date | 2007-02-17 |
| Last Updated Date | 2014-12-23 |
Provider Mailing Address Detail
| Address | 18444 N 25th Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850231261 |
| Phone Number | 8669742673 |
| Fax Number | 8669392673 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 49686 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PENDING | AZ | MEDICARE AZ | |
| 958173 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to David M. Jackson by the Centers for Medicare & Medicaid Services?
The David M. Jackson has been assigned the NPI (National Provider Identifier) 1144364696. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of David M. Jackson?
The David M. Jackson is physically situated at 18444 N 25Th Ave, in the city of Phoenix, state of AZ, with the postal code 850231261.
What is David M. Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for David M. Jackson is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1144364696 to David M. Jackson?
The David M. Jackson received its 1144364696 assignment from the Centers for Medicare & Medicaid Services on 2007-02-17.
When was the information pertaining to David M. Jackson most recently updated or revised?
The details related to David M. Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2014-12-23.
NPI Number: 1124025044
Address: 9244 W Atlantic Blvd Apt 1238, Coral Springs, FL