Samantha Jackson in Hobart - Family Medicine
Samantha Jackson - NPI 1104806967
Samantha Jackson is a Family Medicine in Hobart, Oklahoma. Samantha Jackson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Samantha Jackson is 1104806967. The last update date is 2014-05-06.
Samantha Jackson's current location address is Po Box 826, Hobart, Oklahoma. You can contact this provider via phone number 5807262226 and fax number 5807268425. The mailing address for Samantha Jackson is Po Box 826, Hobart, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samantha Jackson |
|---|---|
| Address | Po Box 826, Hobart, Oklahoma |
| Phone Number | 5807262226 |
| Fax Number | 5807268425 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104806967 |
|---|---|
| Provider Enumeration Date | 2006-01-18 |
| Last Updated Date | 2014-05-06 |
Provider Mailing Address Detail
| Address | Po Box 826 |
|---|---|
| City | Hobart |
| State | Oklahoma (OK) |
| Post Code | 736510826 |
| Phone Number | 5807262226 |
| Fax Number | 5807268425 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 19876 |
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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 |
|---|---|---|---|
| 100131750D | OK | -- |
Post Comment/ Review Below
What is the Samantha Jackson's 1104806967?
The Samantha Jackson's NPI (National Provider Identifier) Number is 1104806967. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Samantha Jackson is located?
The Samantha Jackson is situated at the following address: Po Box 826, Hobart, OK, 736510826.
What is Samantha Jackson's area of expertise and its corresponding taxonomy classification?
The Samantha Jackson'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 was the 1104806967 assigned to Samantha Jackson?
The Samantha Jackson was issued its 1104806967 on 2006-01-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Samantha Jackson most recently updated or refreshed?
The details pertaining to the Samantha Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-05-06.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY