Douglas Jackson in Elgin - Emergency Medicine
Douglas Jackson - NPI 1083612857
Douglas Jackson is a Emergency Medicine in Elgin, Illinois. Douglas Jackson practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Douglas Jackson is 1083612857. The last update date is 2007-07-08.
Douglas Jackson's current location address is 934 Center St, Elgin, Illinois. You can contact this provider via phone number 8474298750 and fax number 8474298978. The mailing address for Douglas Jackson is 934 Center St, Elgin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Jackson |
|---|---|
| Address | 934 Center St, Elgin, Illinois |
| Phone Number | 8474298750 |
| Fax Number | 8474298978 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1083612857 |
|---|---|
| Provider Enumeration Date | 2005-07-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 934 Center St |
|---|---|
| City | Elgin |
| State | Illinois (IL) |
| Post Code | 6012021250 |
| Phone Number | 8474298750 |
| Fax Number | 8474298978 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 36057410 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3607410 | IL | -- | |
| 4532206 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Douglas Jackson by the Centers for Medicare & Medicaid Services?
The Douglas Jackson has been assigned the NPI (National Provider Identifier) 1083612857. 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 Douglas Jackson?
The Douglas Jackson is physically situated at 934 Center St, in the city of Elgin, state of IL, with the postal code 6012021250.
What is Douglas Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Douglas Jackson's area of specialization is Emergency Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1083612857 to Douglas Jackson?
The Douglas Jackson received its 1083612857 assignment from the Centers for Medicare & Medicaid Services on 2005-07-14.
When was the information regarding Douglas Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Douglas Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.