Jack Richard Roossien in Muskegon - Family Medicine

Jack Richard Roossien - NPI 1184610669

Jack Richard Roossien is a Family Medicine in Muskegon, Michigan. Jack Richard Roossien practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jack Richard Roossien is 1184610669. The last update date is 2019-06-07.

Jack Richard Roossien's current location address is Po Box 1848, Muskegon, Michigan. You can contact this provider via phone number 8666111612 and fax number 2317284789. The mailing address for Jack Richard Roossien is Po Box 1848, Muskegon, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Richard Roossien
Address Po Box 1848, Muskegon, Michigan
Phone Number 8666111612
Fax Number 2317284789
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1184610669
Provider Enumeration Date 2005-09-21
Last Updated Date 2019-06-07

Provider Mailing Address Detail

Address Po Box 1848
City Muskegon
State Michigan (MI)
Post Code 494431848
Phone Number 8666111612
Fax Number 2317284789

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No JR050437
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ON13120 MI MEDICARE GROUP NUMBER
4214810 MI --
1184610669 MI --

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FAQs about Jack Richard Roossien

What is the unique 10-digit identifier code assigned to Jack Richard Roossien by the Centers for Medicare & Medicaid Services?

The Jack Richard Roossien has been issued the NPI (National Provider Identifier) 1184610669 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Jack Richard Roossien is geographically located?

The Jack Richard Roossien is physically situated at the following location: Po Box 1848, Muskegon, MI, 494431848.

What is Jack Richard Roossien's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jack Richard Roossien is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

When did Jack Richard Roossien receive its 1184610669 assignment?

The Jack Richard Roossien was assigned its 1184610669 on 2005-09-21, which is the date when this unique identifier was issued to the organization.

When was the information regarding Jack Richard Roossien, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jack Richard Roossien, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-06-07.

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