Jackson Primary Care Llc in Jackson - Obstetrics & Gynecology
Jackson Primary Care Llc - NPI 1619961380
Jackson Primary Care Llc is a Obstetrics & Gynecology in Jackson, Missouri. Jackson Primary Care Llc practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Jackson Primary Care Llc is 1619961380. The last update date is 2010-10-26.
Jackson Primary Care Llc's current location address is 2685 E Main St Suite A, Jackson, Missouri. You can contact this provider via phone number 5732041400 and fax number 5732041480. The mailing address for Jackson Primary Care Llc is 2685 E Main St Suite A, Jackson, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Primary Care Llc |
|---|---|
| Address | 2685 E Main St Suite A, Jackson, Missouri |
| Phone Number | 5732041400 |
| Fax Number | 5732041480 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Siemer M Deanna |
| Credentials | MD |
| Telephone Number | 5732041400 |
NPI Number Detail
| NPI Number | 1619961380 |
|---|---|
| Provider Enumeration Date | 2005-09-08 |
| Last Updated Date | 2010-10-26 |
Provider Mailing Address Detail
| Address | 2685 E Main St Suite A |
|---|---|
| City | Jackson |
| State | Missouri (MO) |
| Post Code | 63755 |
| Phone Number | 5732041400 |
| Fax Number | 5732041480 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 132588 | MO | BCBS | |
| 509303004 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jackson Primary Care Llc by the Centers for Medicare & Medicaid Services?
The Jackson Primary Care Llc has been assigned the NPI (National Provider Identifier) 1619961380. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jackson Primary Care Llc is physically located?
The Jackson Primary Care Llc is situated at the following address: 2685 E Main St Suite A, Jackson, MO 63755.
On what date was the 1619961380 assigned to Jackson Primary Care Llc?
The Jackson Primary Care Llc was issued its 1619961380 on 2005-09-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Jackson Primary Care Llc receive the assignment of its 1619961380 from the Centers for Medicare & Medicaid Services?
The Jackson Primary Care Llc was issued its 1619961380 by the Centers for Medicare & Medicaid Services on 2005-09-08.
When was the information regarding Jackson Primary Care Llc most recently updated?
The details pertaining to the Jackson Primary Care Llc, including its address, specialty, and other relevant information, were last refreshed on 2010-10-26.
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