Shawn Ian Jackson in Wichita - Internal Medicine
Shawn Ian Jackson - NPI 1609071158
Shawn Ian Jackson is a Internal Medicine in Wichita, Kansas. Shawn Ian Jackson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Shawn Ian Jackson is 1609071158. The last update date is 2014-12-01.
Shawn Ian Jackson's current location address is 1947 N Founders Cir, Wichita, Kansas. You can contact this provider via phone number 3166134930. The mailing address for Shawn Ian Jackson is 1947 N Founders Cir, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shawn Ian Jackson |
|---|---|
| Address | 1947 N Founders Cir, Wichita, Kansas |
| Phone Number | 3166134930 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1609071158 |
|---|---|
| Provider Enumeration Date | 2007-06-15 |
| Last Updated Date | 2014-12-01 |
Provider Mailing Address Detail
| Address | 1947 N Founders Cir |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672063548 |
| Phone Number | 3166134930 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 04-33385 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200656050A | KS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Shawn Ian Jackson by the Centers for Medicare & Medicaid Services?
The Shawn Ian Jackson has been assigned the NPI (National Provider Identifier) 1609071158 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Shawn Ian Jackson?
The Shawn Ian Jackson is situated at 1947 N Founders Cir, in the city of Wichita, state of KS, with the zip code 672063548.
What is the Shawn Ian Jackson's specialty and taxonomy code?
The Shawn Ian Jackson's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609071158 to Shawn Ian Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1609071158 to Shawn Ian Jackson on 2007-06-15.
When was the information regarding Shawn Ian Jackson most recently updated?
The details pertaining to the Shawn Ian Jackson, including its address, specialty, and other relevant information, were last refreshed on 2014-12-01.
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