Jon Phillip Wack in Novato - Diagnostic Radiology
Jon Phillip Wack - NPI 1609819622
Jon Phillip Wack is a Diagnostic Radiology in Novato, California. Jon Phillip Wack practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jon Phillip Wack is 1609819622. The last update date is 2009-02-05.
Jon Phillip Wack's current location address is P.o. Box 6102, Novato, California. You can contact this provider via phone number 4158843418. The mailing address for Jon Phillip Wack is P.o. Box 6102, Novato, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jon Phillip Wack |
---|---|
Address | P.o. Box 6102, Novato, California |
Phone Number | 4158843418 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1609819622 |
---|---|
Provider Enumeration Date | 2006-06-14 |
Last Updated Date | 2009-02-05 |
Provider Mailing Address Detail
Address | P.o. Box 6102 |
---|---|
City | Novato |
State | California (CA) |
Post Code | 949486102 |
Phone Number | 4158843418 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Diagnostic Radiology |
---|---|
Taxonomy | 2085R0202X |
Licence No | A23313 |
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1609819622 | NV | -- | |
300134151 | CA | RAILROAD MEDICARE | |
00A233130 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jon Phillip Wack by the Centers for Medicare & Medicaid Services?
The Jon Phillip Wack has been assigned the NPI (National Provider Identifier) 1609819622. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jon Phillip Wack's facilities are geographically located?
The facilities of Jon Phillip Wack are physically situated at the following location: P.O. Box 6102, Novato, CA, 949486102.
What is the Jon Phillip Wack's area of specialization and corresponding taxonomy classification?
The Jon Phillip Wack's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.
On what date did the Jon Phillip Wack receive its 1609819622 assignment from the Centers for Medicare & Medicaid Services?
The Jon Phillip Wack was assigned its 1609819622 by the Centers for Medicare & Medicaid Services on 2006-06-14.
As of what date was the information pertaining to Jon Phillip Wack, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jon Phillip Wack, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-02-05.