Jay A Harolds in Grand Rapids - Diagnostic Radiology

Jay A Harolds - NPI 1720081649

Jay A Harolds is a Diagnostic Radiology in Grand Rapids, Michigan. Jay A Harolds practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jay A Harolds is 1720081649. The last update date is 2010-10-06.

Jay A Harolds's current location address is 3264 N Evergreen Dr Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163637339 and fax number 6163615828. The mailing address for Jay A Harolds is 3264 N Evergreen Dr Ne, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jay A Harolds
Address 3264 N Evergreen Dr Ne, Grand Rapids, Michigan
Phone Number 6163637339
Fax Number 6163615828
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1720081649
Provider Enumeration Date 2005-05-24
Last Updated Date 2010-10-06

Provider Mailing Address Detail

Address 3264 N Evergreen Dr Ne
City Grand Rapids
State Michigan (MI)
Post Code 4952597460
Phone Number 6163637339
Fax Number 6163615828

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 12562
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
100009180A OK --

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FAQs about Jay A Harolds

What is the unique 10-digit identifier code issued to Jay A Harolds by the Centers for Medicare & Medicaid Services?

The Jay A Harolds has been assigned the NPI (National Provider Identifier) 1720081649 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Jay A Harolds is physically located?

The Jay A Harolds is physically situated at the following address: 3264 N Evergreen Dr Ne, Grand Rapids, MI, 4952597460.

What is the area of specialization for Jay A Harolds, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jay A Harolds is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1720081649 to Jay A Harolds?

The Centers for Medicare & Medicaid Services originally issued the 1720081649 to Jay A Harolds on 2005-05-24.

As of what date were the Jay A Harolds's details last updated?

The information pertaining to the Jay A Harolds, including its address, specialty, and other details, was most recently updated on 2010-10-06.

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