Richard D Jackson in Ronks - Family Medicine
Richard D Jackson - NPI 1366483406
Richard D Jackson is a Family Medicine in Ronks, Pennsylvania. Richard D Jackson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Richard D Jackson is 1366483406. The last update date is 2007-07-08.
Richard D Jackson's current location address is 29 Eastbrook Rd, Ronks, Pennsylvania. You can contact this provider via phone number 7172995711. The mailing address for Richard D Jackson is 29 Eastbrook Rd, Ronks, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard D Jackson |
|---|---|
| Address | 29 Eastbrook Rd, Ronks, Pennsylvania |
| Phone Number | 7172995711 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366483406 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 29 Eastbrook Rd |
|---|---|
| City | Ronks |
| State | Pennsylvania (PA) |
| Post Code | 175729769 |
| Phone Number | 7172995711 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD031678E |
|
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 |
|---|---|---|---|
| 1160742 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Richard D Jackson by the Centers for Medicare & Medicaid Services?
The Richard D Jackson has been assigned the NPI (National Provider Identifier) 1366483406 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Richard D Jackson's physical address?
The Richard D Jackson is physically located at 29 Eastbrook Rd, in the city of Ronks, PA, with the postal code 175729769.
What is the Richard D Jackson's area of specialization and corresponding taxonomy classification?
The Richard D Jackson's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did Richard D Jackson receive its 1366483406 assignment from the Centers for Medicare & Medicaid Services?
The Richard D Jackson was assigned its 1366483406 on 2006-06-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Richard D Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Richard D Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1578569273
Address: 2350 Miami Valley Dr, Dayton, OH