Jay W Eastman in Chesterfield - Pediatrics

Jay W Eastman - NPI 1730172925

Jay W Eastman is a Pediatrics in Chesterfield, Michigan. Jay W Eastman practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jay W Eastman is 1730172925. The last update date is 2020-06-17.

Jay W Eastman's current location address is 30795 23 Mile Rd Ste 202, Chesterfield, Michigan. You can contact this provider via phone number 5864211740 and fax number 5864211744. The mailing address for Jay W Eastman is 30795 23 Mile Rd Ste 202, Chesterfield, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jay W Eastman
Address 30795 23 Mile Rd Ste 202, Chesterfield, Michigan
Phone Number 5864211740
Fax Number 5864211744
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1730172925
Provider Enumeration Date 2005-08-24
Last Updated Date 2020-06-17

Provider Mailing Address Detail

Address 30795 23 Mile Rd Ste 202
City Chesterfield
State Michigan (MI)
Post Code 480475721
Phone Number 5864211740
Fax Number 5864211744

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No JE031896
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
350F314450 MI BLUE CROSS AND BLUE SHIEL
4332911 MI AETNA
4324769 MI --
P41188 MI BLUE CARE NETWORK

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FAQs about Jay W Eastman

What is the unique identifier code issued to Jay W Eastman by the Centers for Medicare & Medicaid Services?

The Jay W Eastman has been assigned the NPI (National Provider Identifier) 1730172925. 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 Jay W Eastman is physically located?

The Jay W Eastman is physically situated at the following address: 30795 23 Mile Rd Ste 202, Chesterfield, MI, 480475721.

What is the area of specialization for Jay W Eastman, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jay W Eastman is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.

On what date was the 1730172925 assigned to Jay W Eastman?

The Jay W Eastman was issued its 1730172925 on 2005-08-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Jay W Eastman most recently updated or revised?

The details related to Jay W Eastman, including its address, specialty, and other relevant information, were last updated or revised on 2020-06-17.

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