Theodore A. Jackson in Charleston - Surgery Of The Hand
Theodore A. Jackson - NPI 1942294376
Theodore A. Jackson is a Surgery Of The Hand in Charleston, . Theodore A. Jackson practices all healthcare services and medical treatments related to Surgery Of The Hand. The NPI Number for Theodore A. Jackson is 1942294376. The last update date is 2009-03-12.
Theodore A. Jackson's current location address is 1306 Kanawha Blvd E, Charleston, . You can contact this provider via phone number 3043421113 and fax number 3043462271. The mailing address for Theodore A. Jackson is 1306 Kanawha Blvd E, Charleston, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore A. Jackson |
|---|---|
| Address | 1306 Kanawha Blvd E, Charleston, |
| Phone Number | 3043421113 |
| Fax Number | 3043462271 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1942294376 |
|---|---|
| Provider Enumeration Date | 2005-08-31 |
| Last Updated Date | 2009-03-12 |
Provider Mailing Address Detail
| Address | 1306 Kanawha Blvd E |
|---|---|
| City | Charleston |
| State | (WV) |
| Post Code | 253013001 |
| Phone Number | 3043421113 |
| Fax Number | 3043462271 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery Of The Hand |
|---|---|
| Taxonomy | 2082S0105X |
| Licence No | 13531 |
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Definition: A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51155000 | WV | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Theodore A. Jackson by the Centers for Medicare & Medicaid Services?
The Theodore A. Jackson has been assigned the NPI (National Provider Identifier) 1942294376 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 Theodore A. Jackson is located?
The Theodore A. Jackson is situated at the following address: 1306 Kanawha Blvd E, Charleston, WV, 253013001.
What is the Theodore A. Jackson's area of specialization and corresponding taxonomy classification?
The Theodore A. Jackson's specialty field is Surgery Of The Hand, and it falls under the taxonomy code 2082S0105X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942294376 to Theodore A. Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1942294376 to Theodore A. Jackson on 2005-08-31.
When was the Theodore A. Jackson's information last updated?
The Theodore A. Jackson's information was last updated on 2009-03-12.
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