Douglas W Jackson in Long Beach - Specialist
Douglas W Jackson - NPI 1386624484
Douglas W Jackson is a Specialist in Long Beach, California. Douglas W Jackson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Douglas W Jackson is 1386624484. The last update date is 2007-07-08.
Douglas W Jackson's current location address is 2760 Atlantic Ave, Long Beach, California. You can contact this provider via phone number 5624246666 and fax number 5624247122. The mailing address for Douglas W Jackson is 2760 Atlantic Ave, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas W Jackson |
|---|---|
| Address | 2760 Atlantic Ave, Long Beach, California |
| Phone Number | 5624246666 |
| Fax Number | 5624247122 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1386624484 |
|---|---|
| Provider Enumeration Date | 2006-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2760 Atlantic Ave |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908062755 |
| Phone Number | 5624246666 |
| Fax Number | 5624247122 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G13338 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Douglas W Jackson by the Centers for Medicare & Medicaid Services?
The Douglas W Jackson has been assigned the NPI (National Provider Identifier) 1386624484 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Douglas W Jackson is physically located?
The Douglas W Jackson is situated at the following address: 2760 Atlantic Ave, Long Beach, CA 908062755.
What is the Douglas W Jackson's specialty and taxonomy code?
The Douglas W Jackson's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386624484 to Douglas W Jackson?
The Douglas W Jackson received its 1386624484 assignment from the Centers for Medicare & Medicaid Services on 2006-01-17.
When was the information pertaining to Douglas W Jackson most recently updated or revised?
The details related to Douglas W Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.