Otto Louis-Jacques in Fairfax - Pediatric Gastroenterology
Otto Louis-Jacques - NPI 1124094933
Otto Louis-Jacques is a Pediatric Gastroenterology in Fairfax, Virginia. Otto Louis-Jacques practices all healthcare services and medical treatments related to Pediatric Gastroenterology. The NPI Number for Otto Louis-Jacques is 1124094933. The last update date is 2016-03-25.
Otto Louis-Jacques's current location address is 3022 Williams Dr, Fairfax, Virginia. You can contact this provider via phone number 7036981775 and fax number 7036418427. The mailing address for Otto Louis-Jacques is 3022 Williams Dr, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Otto Louis-Jacques |
|---|---|
| Address | 3022 Williams Dr, Fairfax, Virginia |
| Phone Number | 7036981775 |
| Fax Number | 7036418427 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124094933 |
|---|---|
| Provider Enumeration Date | 2006-02-23 |
| Last Updated Date | 2016-03-25 |
Provider Mailing Address Detail
| Address | 3022 Williams Dr |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 220314600 |
| Phone Number | 7036981775 |
| Fax Number | 7036418427 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Gastroenterology |
|---|---|
| Taxonomy | 2080P0206X |
| Licence No | 101233886 |
|
Definition: A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs comp |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6738052 | VA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Otto Louis-Jacques by the Centers for Medicare & Medicaid Services?
The Otto Louis-Jacques has been assigned the NPI (National Provider Identifier) 1124094933. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Otto Louis-Jacques is located?
The Otto Louis-Jacques is situated at the following address: 3022 Williams Dr, Fairfax, VA, 220314600.
What is Otto Louis-Jacques's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Otto Louis-Jacques's specialized field of practice is Pediatric Gastroenterology, and the corresponding taxonomy code that categorizes this area of specialization is 2080P0206X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124094933 to Otto Louis-Jacques?
The Centers for Medicare & Medicaid Services originally issued the 1124094933 to Otto Louis-Jacques on 2006-02-23.
When was the information related to Otto Louis-Jacques most recently updated or refreshed?
The details pertaining to the Otto Louis-Jacques, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-03-25.
NPI Number: 1457354235
Address: Po Box 636256 Central Credentialing, Cincinnati, OH