Christine Jackson in Eagar - Cardiovascular Disease
Christine Jackson - NPI 1861476889
Christine Jackson is a Cardiovascular Disease in Eagar, Arizona. Christine Jackson practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Christine Jackson is 1861476889. The last update date is 2010-01-04.
Christine Jackson's current location address is Po Box 1120, Eagar, Arizona. You can contact this provider via phone number 9283331030 and fax number 9283331033. The mailing address for Christine Jackson is Po Box 1120, Eagar, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christine Jackson |
|---|---|
| Address | Po Box 1120, Eagar, Arizona |
| Phone Number | 9283331030 |
| Fax Number | 9283331033 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1861476889 |
|---|---|
| Provider Enumeration Date | 2005-12-02 |
| Last Updated Date | 2010-01-04 |
Provider Mailing Address Detail
| Address | Po Box 1120 |
|---|---|
| City | Eagar |
| State | Arizona (AZ) |
| Post Code | 859251120 |
| Phone Number | 9283331030 |
| Fax Number | 9283331033 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 13940 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 274613 | AZ | -- |
Post Comment/ Review Below
What is the Christine Jackson's 1861476889?
The Christine Jackson's NPI (National Provider Identifier) Number is 1861476889. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Christine Jackson's facilities are situated?
The facilities of Christine Jackson are physically located at the following address: Po Box 1120, Eagar, AZ, 859251120.
What is the Christine Jackson's specialty and taxonomy code?
The Christine Jackson's specialty is Cardiovascular Disease, and the corresponding taxonomy code is 207Rc0000X.
When was the Christine Jackson's 1861476889 issued?
The Christine Jackson's 1861476889 was issued on 2005-12-02.
When was the information pertaining to Christine Jackson most recently updated or revised?
The details related to Christine Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2010-01-04.