Thomas V Jackson in Portage - Emergency Medicine
Thomas V Jackson - NPI 1700862992
Thomas V Jackson is a Emergency Medicine in Portage, Wisconsin. Thomas V Jackson practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Thomas V Jackson is 1700862992. The last update date is 2012-01-30.
Thomas V Jackson's current location address is Po Box 387, Portage, Wisconsin. You can contact this provider via phone number 6087424131 and fax number 6087455173. The mailing address for Thomas V Jackson is Po Box 387, Portage, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Thomas V Jackson |
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Address | Po Box 387, Portage, Wisconsin |
Phone Number | 6087424131 |
Fax Number | 6087455173 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1700862992 |
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Provider Enumeration Date | 2005-12-20 |
Last Updated Date | 2012-01-30 |
Provider Mailing Address Detail
Address | Po Box 387 |
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City | Portage |
State | Wisconsin (WI) |
Post Code | 539010387 |
Phone Number | 6087424131 |
Fax Number | 6087455173 |
Provider's Primary Taxonomy Detail
Speciality | Emergency Medicine |
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Taxonomy | 207P00000X |
Licence No | 21269020 |
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 |
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30128500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Thomas V Jackson by the Centers for Medicare & Medicaid Services?
The Thomas V Jackson has been issued the NPI (National Provider Identifier) 1700862992, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Thomas V Jackson is located?
The Thomas V Jackson is situated at the following address: Po Box 387, Portage, WI, 539010387.
What is Thomas V 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 Thomas V Jackson is Emergency Medicine, and the taxonomy classification code that categorizes this area of expertise is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1700862992 to Thomas V Jackson?
The Thomas V Jackson received its 1700862992 assignment from the Centers for Medicare & Medicaid Services on 2005-12-20.
As of what date was the information regarding Thomas V Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Thomas V Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-01-30.
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