Jacques D Blackman in Wichita - Family Medicine
Jacques D Blackman - NPI 1023040334
Jacques D Blackman is a Family Medicine in Wichita, Kansas. Jacques D Blackman practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jacques D Blackman is 1023040334. The last update date is 2015-03-24.
Jacques D Blackman's current location address is 13213 W 21st St N, Wichita, Kansas. You can contact this provider via phone number 3169450142 and fax number 3169461760. The mailing address for Jacques D Blackman is 13213 W 21st St N, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacques D Blackman |
|---|---|
| Address | 13213 W 21st St N, Wichita, Kansas |
| Phone Number | 3169450142 |
| Fax Number | 3169461760 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1023040334 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2015-03-24 |
Provider Mailing Address Detail
| Address | 13213 W 21st St N |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672359625 |
| Phone Number | 3169450142 |
| Fax Number | 3169461760 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 17181 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21348 | MEDICARE | ||
| 100205200A | KS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jacques D Blackman?
The Jacques D Blackman has been issued the NPI (National Provider Identifier) 1023040334 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jacques D Blackman's facilities are situated?
The facilities of Jacques D Blackman are physically located at the following address: 13213 W 21St St N, Wichita, KS, 672359625.
What is Jacques D Blackman's area of expertise and its corresponding taxonomy classification?
The Jacques D Blackman's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jacques D Blackman receive its 1023040334 assignment from the Centers for Medicare & Medicaid Services?
The Jacques D Blackman was assigned its 1023040334 by the Centers for Medicare & Medicaid Services on 2006-07-07.
As of what date was the information pertaining to Jacques D Blackman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jacques D Blackman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-03-24.
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