Jerry W Drake in Dearborn - Diagnostic Radiology
Jerry W Drake - NPI 1023055969
Jerry W Drake is a Diagnostic Radiology in Dearborn, Michigan. Jerry W Drake practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jerry W Drake is 1023055969. The last update date is 2007-08-09.
Jerry W Drake's current location address is Po Box 2802, Dearborn, Michigan. You can contact this provider via phone number 3133597650 and fax number 3133597660. The mailing address for Jerry W Drake is Po Box 2802, Dearborn, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry W Drake |
|---|---|
| Address | Po Box 2802, Dearborn, Michigan |
| Phone Number | 3133597650 |
| Fax Number | 3133597660 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1023055969 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2007-08-09 |
Provider Mailing Address Detail
| Address | Po Box 2802 |
|---|---|
| City | Dearborn |
| State | Michigan (MI) |
| Post Code | 481232929 |
| Phone Number | 3133597650 |
| Fax Number | 3133597660 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 4301045887 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1545891 | MI | -- |
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What is the unique 10-digit identifier code issued to Jerry W Drake by the Centers for Medicare & Medicaid Services?
The Jerry W Drake has been assigned the NPI (National Provider Identifier) 1023055969 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
What is Jerry W Drake's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jerry W Drake's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.
What is Jerry W Drake's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerry W Drake is Diagnostic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0202X.
On what date was the 1023055969 assigned to Jerry W Drake?
The Jerry W Drake was issued its 1023055969 on 2006-05-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jerry W Drake most recently updated?
The details pertaining to the Jerry W Drake, including its address, specialty, and other relevant information, were last refreshed on 2007-08-09.