Michael Coleman Graeber in Jackson - Clinical Neurophysiology
Michael Coleman Graeber - NPI 1558461459
Michael Coleman Graeber is a Clinical Neurophysiology in Jackson, Mississippi. Michael Coleman Graeber practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Michael Coleman Graeber is 1558461459. The last update date is 2007-07-09.
Michael Coleman Graeber's current location address is 971 Lakeland Dr, Jackson, Mississippi. You can contact this provider via phone number 6019829826 and fax number 6019829535. The mailing address for Michael Coleman Graeber is 971 Lakeland Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Coleman Graeber |
|---|---|
| Address | 971 Lakeland Dr, Jackson, Mississippi |
| Phone Number | 6019829826 |
| Fax Number | 6019829535 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1558461459 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 971 Lakeland Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164607 |
| Phone Number | 6019829826 |
| Fax Number | 6019829535 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neurophysiology |
|---|---|
| Taxonomy | 2084N0600X |
| Licence No | 10770 |
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Definition: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 530055 | UNITED HEALTH CARE | ||
| 18496 | MS | -- | |
| 9014965 | MS | -- |
Post Comment/ Review Below
What is the Michael Coleman Graeber's unique identification number?
The Michael Coleman Graeber has been assigned the NPI (National Provider Identifier) Number 1558461459 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Michael Coleman Graeber is geographically located?
The Michael Coleman Graeber is physically situated at the following location: 971 Lakeland Dr, Jackson, MS, 392164607.
What is Michael Coleman Graeber's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael Coleman Graeber's area of specialization is Clinical Neurophysiology, and the corresponding taxonomy code that categorizes this field of practice is 2084N0600X.
When did Michael Coleman Graeber receive its 1558461459 assignment?
The Michael Coleman Graeber was assigned its 1558461459 on 2006-09-22, which is the date when this unique identifier was issued to the organization.
When was the information related to Michael Coleman Graeber most recently updated or refreshed?
The details pertaining to the Michael Coleman Graeber, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.