Brian William Jansen in Daytona Beach - Specialist

Brian William Jansen - NPI 1922074293

Brian William Jansen is a Specialist in Daytona Beach, Florida. Brian William Jansen practices all healthcare services and medical treatments related to Specialist. The NPI Number for Brian William Jansen is 1922074293. The last update date is 2007-07-08.

Brian William Jansen's current location address is 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, Florida. You can contact this provider via phone number 3864812261 and fax number 3864812265. The mailing address for Brian William Jansen is 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian William Jansen
Address 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, Florida
Phone Number 3864812261
Fax Number 3864812265
Sole Proprietor X
Credentials ATC, LAT

NPI Number Detail

NPI Number 1922074293
Provider Enumeration Date 2006-02-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 640 Dr Mary Mcleod Bethune Blvd
City Daytona Beach
State Florida (FL)
Post Code 321143012
Phone Number 3864812261
Fax Number 3864812265

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No AL 571
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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FAQs about Brian William Jansen

What is the unique 10-digit identifier code assigned to Brian William Jansen by the Centers for Medicare & Medicaid Services?

The Brian William Jansen has been issued the NPI (National Provider Identifier) 1922074293 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Brian William Jansen is physically located?

The Brian William Jansen is situated at the following address: 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 321143012.

What is the Brian William Jansen's specialty and taxonomy code?

The Brian William Jansen's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1922074293 to Brian William Jansen?

The Brian William Jansen received its 1922074293 assignment from the Centers for Medicare & Medicaid Services on 2006-02-27.

As of what date were the Brian William Jansen's details last updated?

The information pertaining to the Brian William Jansen, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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