Jack Jacob is a Gynecology in New Orleans, Louisiana. Jack Jacob practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Jack Jacob is 1255482063. The last update date is 2019-03-06.
Jack Jacob's current location address is 3525 Prytania Street, New Orleans, Louisiana. You can contact this provider via phone number 5048978281 and fax number 5048975604. The mailing address for Jack Jacob is 3525 Prytania Street, New Orleans, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jack Jacob |
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Address | 3525 Prytania Street, New Orleans, Louisiana |
Phone Number | 5048978281 |
Fax Number | 5048975604 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1255482063 |
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Provider Enumeration Date | 2007-01-16 |
Last Updated Date | 2019-03-06 |
Provider Mailing Address Detail
Address | 3525 Prytania Street |
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City | New Orleans |
State | Louisiana (LA) |
Post Code | 70115 |
Phone Number | 5048978281 |
Fax Number | 5048975604 |
Provider's Primary Taxonomy Detail
Speciality | Gynecology |
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Taxonomy | 207Vg0400X |
Licence No | 11071 |
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 |
---|---|---|---|
1943479 | LA | -- | |
1133191 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jack Jacob by the Centers for Medicare & Medicaid Services?
The Jack Jacob has been assigned the NPI (National Provider Identifier) 1255482063. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jack Jacob is geographically located?
The Jack Jacob is physically situated at the following location: 3525 Prytania Street, New Orleans, LA, 70115.
What is Jack Jacob's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jack Jacob is Gynecology, and the taxonomy classification code that categorizes this area of expertise is 207Vg0400X.
On what date did Jack Jacob receive its 1255482063 assignment from the Centers for Medicare & Medicaid Services?
The Jack Jacob was assigned its 1255482063 on 2007-01-16, 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 Jack Jacob, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jack Jacob, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-03-06.
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