Vance R Jernstrom in Saint Louis - Otolaryngology
Vance R Jernstrom - NPI 1558321380
Vance R Jernstrom is a Otolaryngology in Saint Louis, Missouri. Vance R Jernstrom practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Vance R Jernstrom is 1558321380. The last update date is 2012-03-28.
Vance R Jernstrom's current location address is Po Box 504538, Saint Louis, Missouri. You can contact this provider via phone number 8169327940 and fax number 8169327957. The mailing address for Vance R Jernstrom is Po Box 504538, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vance R Jernstrom |
|---|---|
| Address | Po Box 504538, Saint Louis, Missouri |
| Phone Number | 8169327940 |
| Fax Number | 8169327957 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1558321380 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2012-03-28 |
Provider Mailing Address Detail
| Address | Po Box 504538 |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631504538 |
| Phone Number | 8169327940 |
| Fax Number | 8169327957 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | R5C10 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10025459400 | NE | -- | |
| 34161 | NE | BCBSN | |
| 735977 | IA | -- | |
| 1558321380 | MO | -- | |
| 1735977 | IA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Vance R Jernstrom by the Centers for Medicare & Medicaid Services?
The Vance R Jernstrom has been assigned the NPI (National Provider Identifier) 1558321380. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Vance R Jernstrom is physically located?
The Vance R Jernstrom is physically situated at the following address: Po Box 504538, Saint Louis, MO, 631504538.
What is Vance R Jernstrom's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Vance R Jernstrom is Otolaryngology, and the corresponding taxonomy classification code for this specialized field is 207Y00000X.
When did Vance R Jernstrom receive its 1558321380 assignment?
The Vance R Jernstrom was assigned its 1558321380 on 2006-03-24, which is the date when this unique identifier was issued to the organization.
As of what date were the Vance R Jernstrom's details last updated?
The information pertaining to the Vance R Jernstrom, including its address, specialty, and other details, was most recently updated on 2012-03-28.