J Carvel Jackson in Mesa - Addiction Medicine
J Carvel Jackson - NPI 1942262399
J Carvel Jackson is a Addiction Medicine in Mesa, Arizona. J Carvel Jackson practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for J Carvel Jackson is 1942262399. The last update date is 2023-02-02.
J Carvel Jackson's current location address is 303 N Centennial Way, Mesa, Arizona. You can contact this provider via phone number 4806493111 and fax number 4806493113. The mailing address for J Carvel Jackson is 303 N Centennial Way, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | J Carvel Jackson |
|---|---|
| Address | 303 N Centennial Way, Mesa, Arizona |
| Phone Number | 4806493111 |
| Fax Number | 4806493113 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1942262399 |
|---|---|
| Provider Enumeration Date | 2006-04-03 |
| Last Updated Date | 2023-02-02 |
Provider Mailing Address Detail
| Address | 303 N Centennial Way |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852016733 |
| Phone Number | 4806493111 |
| Fax Number | 4806493113 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | 2543 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 111328 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to J Carvel Jackson by the Centers for Medicare & Medicaid Services?
The J Carvel Jackson has been issued the NPI (National Provider Identifier) 1942262399, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where J Carvel Jackson is geographically located?
The J Carvel Jackson is physically situated at the following location: 303 N Centennial Way, Mesa, AZ, 852016733.
What is J Carvel Jackson's area of expertise and its corresponding taxonomy classification?
The J Carvel Jackson's field of specialization is Addiction Medicine, and it falls under the taxonomy code 207Ra0401X, which categorizes healthcare providers based on their areas of practice.
When did the J Carvel Jackson receive its 1942262399?
The J Carvel Jackson was issued its 1942262399 on 2006-04-03, which is the date when the organization was assigned this unique identifier.
When was the information regarding J Carvel Jackson most recently updated?
The details pertaining to the J Carvel Jackson, including its address, specialty, and other relevant information, were last refreshed on 2023-02-02.