Jaclyn Summer Liston-Crandall in Tekonsha - Family Medicine
Jaclyn Summer Liston-Crandall - NPI 1114145133
Jaclyn Summer Liston-Crandall is a Family Medicine in Tekonsha, Michigan. Jaclyn Summer Liston-Crandall practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jaclyn Summer Liston-Crandall is 1114145133. The last update date is 2014-12-16.
Jaclyn Summer Liston-Crandall's current location address is 2218 Us Highway 27 N, Tekonsha, Michigan. You can contact this provider via phone number 5177674038 and fax number 5177673427. The mailing address for Jaclyn Summer Liston-Crandall is 2218 Us Highway 27 N, Tekonsha, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaclyn Summer Liston-Crandall |
|---|---|
| Address | 2218 Us Highway 27 N, Tekonsha, Michigan |
| Phone Number | 5177674038 |
| Fax Number | 5177673427 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114145133 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2014-12-16 |
Provider Mailing Address Detail
| Address | 2218 Us Highway 27 N |
|---|---|
| City | Tekonsha |
| State | Michigan (MI) |
| Post Code | 490929261 |
| Phone Number | 5177674038 |
| Fax Number | 5177673427 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 4301089625 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jaclyn Summer Liston-Crandall by the Centers for Medicare & Medicaid Services?
The Jaclyn Summer Liston-Crandall has been assigned the NPI (National Provider Identifier) 1114145133 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Jaclyn Summer Liston-Crandall is physically located?
The Jaclyn Summer Liston-Crandall is situated at the following address: 2218 Us Highway 27 N, Tekonsha, MI 490929261.
What is the Jaclyn Summer Liston-Crandall's specialty and taxonomy code?
The Jaclyn Summer Liston-Crandall's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Jaclyn Summer Liston-Crandall receive its 1114145133 assignment from the Centers for Medicare & Medicaid Services?
The Jaclyn Summer Liston-Crandall was assigned its 1114145133 by the Centers for Medicare & Medicaid Services on 2007-04-23.
As of what date were the details related to Jaclyn Summer Liston-Crandall most recently updated or revised?
The information pertaining to Jaclyn Summer Liston-Crandall, including its address, specialty, and other relevant details, was last updated or revised on 2014-12-16.
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