Jack Henry Eberhart in Farmington - Otolaryngic Allergy
Jack Henry Eberhart - NPI 1215969860
Jack Henry Eberhart is a Otolaryngic Allergy in Farmington, New Mexico. Jack Henry Eberhart practices all healthcare services and medical treatments related to Otolaryngic Allergy. The NPI Number for Jack Henry Eberhart is 1215969860. The last update date is 2007-07-08.
Jack Henry Eberhart's current location address is 2300 E 30th St, Farmington, New Mexico. You can contact this provider via phone number 5053274429 and fax number 5053274420. The mailing address for Jack Henry Eberhart is 2300 E 30th St, Farmington, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Henry Eberhart |
|---|---|
| Address | 2300 E 30th St, Farmington, New Mexico |
| Phone Number | 5053274429 |
| Fax Number | 5053274420 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1215969860 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2300 E 30th St |
|---|---|
| City | Farmington |
| State | New Mexico (NM) |
| Post Code | 874018990 |
| Phone Number | 5053274429 |
| Fax Number | 5053274420 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngic Allergy |
|---|---|
| Taxonomy | 207Yx0602X |
| Licence No | 97-223 |
|
Definition: An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| R7435 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jack Henry Eberhart by the Centers for Medicare & Medicaid Services?
The Jack Henry Eberhart has been assigned the NPI (National Provider Identifier) 1215969860 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jack Henry Eberhart's facilities are situated?
The facilities of Jack Henry Eberhart are physically located at the following address: 2300 E 30Th St, Farmington, NM, 874018990.
What is Jack Henry Eberhart's area of expertise and its corresponding taxonomy classification?
The Jack Henry Eberhart's field of specialization is Otolaryngic Allergy, and it falls under the taxonomy code 207Yx0602X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1215969860 assigned to Jack Henry Eberhart?
The Jack Henry Eberhart was issued its 1215969860 on 2006-07-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jack Henry Eberhart, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jack Henry Eberhart, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.