Brian J Tollefson in Jackson - Emergency Medicine

Brian J Tollefson - NPI 1093747776

Brian J Tollefson is a Emergency Medicine in Jackson, Mississippi. Brian J Tollefson practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Brian J Tollefson is 1093747776. The last update date is 2023-03-24.

Brian J Tollefson's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019845571 and fax number 6019845583. The mailing address for Brian J Tollefson is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian J Tollefson
Address 2500 N State St, Jackson, Mississippi
Phone Number 6019845571
Fax Number 6019845583
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1093747776
Provider Enumeration Date 2006-07-06
Last Updated Date 2023-03-24

Provider Mailing Address Detail

Address 2500 N State St
City Jackson
State Mississippi (MS)
Post Code 392164500
Phone Number 6019845571
Fax Number 6019845583

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 18987
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00772006 MS RAILROAD NUMBER
178297 AL --
512I930490 MS MEDICARE PTAN EFFECTIVE 7/17/0
1796778 MS --

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FAQs about Brian J Tollefson

What is the unique 10-digit identifier code issued to Brian J Tollefson by the Centers for Medicare & Medicaid Services?

The Brian J Tollefson has been assigned the NPI (National Provider Identifier) 1093747776 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Brian J Tollefson located?

The Brian J Tollefson is located at 2500 N State St, Jackson, MS 392164500.

What is Brian J Tollefson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Brian J Tollefson'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 assign the 1093747776 to Brian J Tollefson?

The Centers for Medicare & Medicaid Services assigned the 1093747776 to Brian J Tollefson on 2006-07-06.

When was the information pertaining to Brian J Tollefson most recently updated or revised?

The details related to Brian J Tollefson, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-24.

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