Eric Alf Jentoft in Marquette - Obstetrics

Eric Alf Jentoft - NPI 1508077405

Eric Alf Jentoft is a Obstetrics in Marquette, Michigan. Eric Alf Jentoft practices all healthcare services and medical treatments related to Obstetrics. The NPI Number for Eric Alf Jentoft is 1508077405. The last update date is 2008-02-20.

Eric Alf Jentoft's current location address is 1414 W Fair Ave, Marquette, Michigan. You can contact this provider via phone number 9062253881. The mailing address for Eric Alf Jentoft is 1414 W Fair Ave, Marquette, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Eric Alf Jentoft
Address 1414 W Fair Ave, Marquette, Michigan
Phone Number 9062253881
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1508077405
Provider Enumeration Date 2007-05-24
Last Updated Date 2008-02-20

Provider Mailing Address Detail

Address 1414 W Fair Ave
City Marquette
State Michigan (MI)
Post Code 498552675
Phone Number 9062253881
Fax Number

Provider's Primary Taxonomy Detail

Speciality Obstetrics
Taxonomy 207Vx0000X
Licence No 4301081464
Definition:
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5183941 MI --
5201102 MI BC/BS
766711051208 MI PREFERRED ONE

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FAQs about Eric Alf Jentoft

What is the unique 10-digit identifier code issued to Eric Alf Jentoft by the Centers for Medicare & Medicaid Services?

The Eric Alf Jentoft has been assigned the NPI (National Provider Identifier) 1508077405 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Eric Alf Jentoft is located?

The Eric Alf Jentoft is situated at the following address: 1414 W Fair Ave, Marquette, MI, 498552675.

What is Eric Alf Jentoft's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Eric Alf Jentoft is Obstetrics, and the taxonomy code that classifies this field of practice is 207Vx0000X.

On what date did Eric Alf Jentoft receive its 1508077405 assignment from the Centers for Medicare & Medicaid Services?

The Eric Alf Jentoft was assigned its 1508077405 on 2007-05-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Eric Alf Jentoft last refreshed?

The information related to the Eric Alf Jentoft, including its address, specialty, and other relevant details, was last updated on 2008-02-20.

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