David Lance Jackson in Akron - Family Medicine

David Lance Jackson - NPI 1659473791

David Lance Jackson is a Family Medicine in Akron, Ohio. David Lance Jackson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for David Lance Jackson is 1659473791. The last update date is 2007-07-08.

David Lance Jackson's current location address is 3529 Fortuna Dr, Akron, Ohio. You can contact this provider via phone number 3306440022 and fax number 3306440328. The mailing address for David Lance Jackson is 3529 Fortuna Dr, Akron, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name David Lance Jackson
Address 3529 Fortuna Dr, Akron, Ohio
Phone Number 3306440022
Fax Number 3306440328
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1659473791
Provider Enumeration Date 2006-09-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3529 Fortuna Dr
City Akron
State Ohio (OH)
Post Code 443125282
Phone Number 3306440022
Fax Number 3306440328

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No OH-35055410
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
686066 OH --

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FAQs about David Lance Jackson

What is the unique 10-digit identifier code assigned to David Lance Jackson by the Centers for Medicare & Medicaid Services?

The David Lance Jackson has been issued the NPI (National Provider Identifier) 1659473791 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where David Lance Jackson is physically located?

The David Lance Jackson is physically situated at the following address: 3529 Fortuna Dr, Akron, OH, 443125282.

What is David Lance Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for David Lance Jackson is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1659473791 to David Lance Jackson?

The Centers for Medicare & Medicaid Services originally issued the 1659473791 to David Lance Jackson on 2006-09-01.

As of what date was the information regarding David Lance Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to David Lance Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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