Jack Jacob in Anchorage - Neonatal-perinatal Medicine

Jack Jacob - NPI 1437111093

Jack Jacob is a Neonatal-perinatal Medicine in Anchorage, Alaska. Jack Jacob practices all healthcare services and medical treatments related to Neonatal-perinatal Medicine. The NPI Number for Jack Jacob is 1437111093. The last update date is 2007-07-08.

Jack Jacob's current location address is 3340 Providence Dr, Anchorage, Alaska. You can contact this provider via phone number 9075633026 and fax number 9075626445. The mailing address for Jack Jacob is 3340 Providence Dr, Anchorage, Alaska. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Jacob
Address 3340 Providence Dr, Anchorage, Alaska
Phone Number 9075633026
Fax Number 9075626445
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1437111093
Provider Enumeration Date 2006-04-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3340 Providence Dr
City Anchorage
State Alaska (AK)
Post Code 995084616
Phone Number 9075633026
Fax Number 9075626445

Provider's Primary Taxonomy Detail

Speciality Neonatal-perinatal Medicine
Taxonomy 2080N0001X
Licence No 1643
Definition:
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MD1643 AK --

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FAQs about Jack Jacob

What is the unique identifier code issued to Jack Jacob by the Centers for Medicare & Medicaid Services (CMS)?

The Jack Jacob has been assigned the NPI (National Provider Identifier) 1437111093. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Jack Jacob's physical address?

The Jack Jacob is physically located at 3340 Providence Dr, in the city of Anchorage, AK, with the postal code 995084616.

What is the area of specialization for Jack Jacob, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jack Jacob is Neonatal-perinatal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080N0001X.

When did Jack Jacob receive its 1437111093 assignment?

The Jack Jacob was assigned its 1437111093 on 2006-04-06, which is the date when this unique identifier was issued to the organization.

As of what date were the Jack Jacob's details last updated?

The information pertaining to the Jack Jacob, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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