Jack S Resneck is a Dermatology in Shreveport, Louisiana. Jack S Resneck practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Jack S Resneck is 1861475691. The last update date is 2007-07-08.
Jack S Resneck's current location address is 845 Olive St, Shreveport, Louisiana. You can contact this provider via phone number 3182223278 and fax number 3184243155. The mailing address for Jack S Resneck is 845 Olive St, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack S Resneck |
|---|---|
| Address | 845 Olive St, Shreveport, Louisiana |
| Phone Number | 3182223278 |
| Fax Number | 3184243155 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1861475691 |
|---|---|
| Provider Enumeration Date | 2005-11-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 845 Olive St |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 71104 |
| Phone Number | 3182223278 |
| Fax Number | 3184243155 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 1957 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1143839 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jack S Resneck by the Centers for Medicare & Medicaid Services?
The Jack S Resneck has been assigned the NPI (National Provider Identifier) 1861475691 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 S Resneck's facilities are situated?
The facilities of Jack S Resneck are physically located at the following address: 845 Olive St, Shreveport, LA, 71104.
What is Jack S Resneck's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jack S Resneck's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1861475691 to Jack S Resneck?
The Jack S Resneck received its 1861475691 assignment from the Centers for Medicare & Medicaid Services on 2005-11-25.
As of what date were the Jack S Resneck's details last updated?
The information pertaining to the Jack S Resneck, including its address, specialty, and other details, was most recently updated on 2007-07-08.