Jason M Jack in Birmingham - Plastic Surgery

Jason M Jack - NPI 1518910892

Jason M Jack is a Plastic Surgery in Birmingham, Alabama. Jason M Jack practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Jason M Jack is 1518910892. The last update date is 2011-10-20.

Jason M Jack's current location address is 2000 Stonegate Trl, Birmingham, Alabama. You can contact this provider via phone number 2052988660 and fax number 2052988664. The mailing address for Jason M Jack is 2000 Stonegate Trl, Birmingham, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason M Jack
Address 2000 Stonegate Trl, Birmingham, Alabama
Phone Number 2052988660
Fax Number 2052988664
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1518910892
Provider Enumeration Date 2006-05-18
Last Updated Date 2011-10-20

Provider Mailing Address Detail

Address 2000 Stonegate Trl
City Birmingham
State Alabama (AL)
Post Code 352422246
Phone Number 2052988660
Fax Number 2052988664

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Licence No 26747
Definition:
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
51591946 AL BCBS OF AL
51040131 AL BCBS OF AL
51591941 AL BCBS OF AL
51591942 AL BCBS OF AL

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FAQs about Jason M Jack

What is the unique 10-digit identifier code issued to Jason M Jack by the Centers for Medicare & Medicaid Services?

The Jason M Jack has been assigned the NPI (National Provider Identifier) 1518910892 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 Jason M Jack is located?

The Jason M Jack is situated at the following address: 2000 Stonegate Trl, Birmingham, AL, 352422246.

What is Jason M Jack's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jason M Jack is Plastic Surgery, and the taxonomy classification code that categorizes this area of expertise is 208200000X.

On what date was the 1518910892 assigned to Jason M Jack?

The Jason M Jack was issued its 1518910892 on 2006-05-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Jason M Jack, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jason M Jack, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-10-20.

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