Jackson Ent Clinic , Psc in Jackson - Otolaryngology
Jackson Ent Clinic , Psc - NPI 1831225465
Jackson Ent Clinic , Psc is a Otolaryngology in Jackson, Kentucky. Jackson Ent Clinic , Psc practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Jackson Ent Clinic , Psc is 1831225465. The last update date is 2008-11-14.
Jackson Ent Clinic , Psc's current location address is Po Box 768, Jackson, Kentucky. You can contact this provider via phone number 6066669909 and fax number 6066669982. The mailing address for Jackson Ent Clinic , Psc is Po Box 768, Jackson, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Ent Clinic , Psc |
|---|---|
| Address | Po Box 768, Jackson, Kentucky |
| Phone Number | 6066669909 |
| Fax Number | 6066669982 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Sartawi A Tariq |
| Credentials | M.D. |
| Telephone Number | 6066669909 |
NPI Number Detail
| NPI Number | 1831225465 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2008-11-14 |
Provider Mailing Address Detail
| Address | Po Box 768 |
|---|---|
| City | Jackson |
| State | Kentucky (KY) |
| Post Code | 413390768 |
| Phone Number | 6066669909 |
| Fax Number | 6066669982 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 36227 |
|
Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| SA64023724 | KY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jackson Ent Clinic , Psc?
The Jackson Ent Clinic , Psc has been issued the NPI (National Provider Identifier) 1831225465 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Jackson Ent Clinic , Psc is located?
The Jackson Ent Clinic , Psc is situated at the following address: Po Box 768, Jackson, KY, 413390768.
What is Jackson Ent Clinic , Psc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jackson Ent Clinic , Psc's specialized field of practice is Otolaryngology, and the corresponding taxonomy code that categorizes this area of specialization is 207Y00000X.
When did the Jackson Ent Clinic , Psc receive its 1831225465?
The Jackson Ent Clinic , Psc was issued its 1831225465 on 2007-02-26, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Jackson Ent Clinic , Psc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jackson Ent Clinic , Psc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-11-14.
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