Jack Anderson is a Internal Medicine in Appleton, Wisconsin. Jack Anderson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jack Anderson is 1992737522. The last update date is 2011-11-16.
Jack Anderson's current location address is Po Box 8003, Appleton, Wisconsin. You can contact this provider via phone number 9209963298. The mailing address for Jack Anderson is Po Box 8003, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Anderson |
|---|---|
| Address | Po Box 8003, Appleton, Wisconsin |
| Phone Number | 9209963298 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1992737522 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2011-11-16 |
Provider Mailing Address Detail
| Address | Po Box 8003 |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549128003 |
| Phone Number | 9209963298 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 26238-020 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110048483 | RR MEDICARE | ||
| 711290042 | WI | MEDICARE PTAN | |
| 30608500 | WI | -- | |
| 450030618 | WI | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jack Anderson?
The Jack Anderson has been issued the NPI (National Provider Identifier) 1992737522 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jack Anderson's facilities are situated?
The facilities of Jack Anderson are physically located at the following address: Po Box 8003, Appleton, WI, 549128003.
What is Jack Anderson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jack Anderson's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did Jack Anderson receive its 1992737522 assignment from the Centers for Medicare & Medicaid Services?
The Jack Anderson was assigned its 1992737522 on 2006-07-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jack Anderson most recently updated or revised?
The details related to Jack Anderson, including its address, specialty, and other relevant information, were last updated or revised on 2011-11-16.
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