Jack C Blackstone, Jr. in Owensboro - Gynecology
Jack C Blackstone, Jr. - NPI 1912994583
Jack C Blackstone, Jr. is a Gynecology in Owensboro, Kentucky. Jack C Blackstone, Jr. practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Jack C Blackstone, Jr. is 1912994583. The last update date is 2010-07-08.
Jack C Blackstone, Jr.'s current location address is 1000 Breckenridge St, Owensboro, Kentucky. You can contact this provider via phone number 2709263700 and fax number 2709262114. The mailing address for Jack C Blackstone, Jr. is 1000 Breckenridge St, Owensboro, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jack C Blackstone, Jr. |
---|---|
Address | 1000 Breckenridge St, Owensboro, Kentucky |
Phone Number | 2709263700 |
Fax Number | 2709262114 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1912994583 |
---|---|
Provider Enumeration Date | 2005-09-29 |
Last Updated Date | 2010-07-08 |
Provider Mailing Address Detail
Address | 1000 Breckenridge St |
---|---|
City | Owensboro |
State | Kentucky (KY) |
Post Code | 423030839 |
Phone Number | 2709263700 |
Fax Number | 2709262114 |
Provider's Primary Taxonomy Detail
Speciality | Gynecology |
---|---|
Taxonomy | 207Vg0400X |
Licence No | 18142 |
Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
64181423 | KY | -- |
Post Comment/ Review Below
What is the Jack C Blackstone, Jr.'s 1912994583?
The Jack C Blackstone, Jr.'s NPI (National Provider Identifier) Number is 1912994583. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jack C Blackstone, Jr. located?
The Jack C Blackstone, Jr. is located at 1000 Breckenridge St, Owensboro, KY 423030839.
What is Jack C Blackstone, Jr.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Jack C Blackstone, Jr.'s area of specialization is Gynecology, and the corresponding taxonomy code that categorizes this field of practice is 207Vg0400X.
On what date was the 1912994583 assigned to Jack C Blackstone, Jr.?
The Jack C Blackstone, Jr. was issued its 1912994583 on 2005-09-29, 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 Jack C Blackstone, Jr. most recently updated or refreshed?
The details pertaining to the Jack C Blackstone, Jr., including its address, specialty, and other relevant information, were last updated or refreshed on 2010-07-08.