John M Jacocks in Fairfax Station - Aerospace Medicine

John M Jacocks - NPI 1063403020

John M Jacocks is a Aerospace Medicine in Fairfax Station, Virginia. John M Jacocks practices all healthcare services and medical treatments related to Aerospace Medicine. The NPI Number for John M Jacocks is 1063403020. The last update date is 2022-04-27.

John M Jacocks's current location address is 9815 S Park Cir, Fairfax Station, Virginia. You can contact this provider via phone number 7034401088 and fax number 7038063591. The mailing address for John M Jacocks is 9815 S Park Cir, Fairfax Station, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name John M Jacocks
Address 9815 S Park Cir, Fairfax Station, Virginia
Phone Number 7034401088
Fax Number 7038063591
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1063403020
Provider Enumeration Date 2005-10-31
Last Updated Date 2022-04-27

Provider Mailing Address Detail

Address 9815 S Park Cir
City Fairfax Station
State Virginia (VA)
Post Code 220392908
Phone Number 7034401088
Fax Number 7038063591

Provider's Primary Taxonomy Detail

Speciality Aerospace Medicine
Taxonomy 2083A0100X
Licence No 7019
Definition:
Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicl

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FAQs about John M Jacocks

What is the unique identifier code issued to John M Jacocks by the Centers for Medicare & Medicaid Services (CMS)?

The John M Jacocks has been assigned the NPI (National Provider Identifier) 1063403020. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where John M Jacocks is located?

The John M Jacocks is situated at the following address: 9815 S Park Cir, Fairfax Station, VA, 220392908.

What is John M Jacocks's area of expertise and its corresponding taxonomy classification?

The John M Jacocks's field of specialization is Aerospace Medicine, and it falls under the taxonomy code 2083A0100X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1063403020 to John M Jacocks?

The Centers for Medicare & Medicaid Services originally issued the 1063403020 to John M Jacocks on 2005-10-31.

When was the John M Jacocks's information last updated?

The John M Jacocks's information was last updated on 2022-04-27.

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