Jerry A Jefson in Lafayette - Surgery

Jerry A Jefson - NPI 1619946670

Jerry A Jefson is a Surgery in Lafayette, Indiana. Jerry A Jefson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jerry A Jefson is 1619946670. The last update date is 2021-03-23.

Jerry A Jefson's current location address is Po Box 4699, Lafayette, Indiana. You can contact this provider via phone number 7654492732 and fax number 7654491196. The mailing address for Jerry A Jefson is Po Box 4699, Lafayette, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry A Jefson
Address Po Box 4699, Lafayette, Indiana
Phone Number 7654492732
Fax Number 7654491196
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1619946670
Provider Enumeration Date 2006-03-14
Last Updated Date 2021-03-23

Provider Mailing Address Detail

Address Po Box 4699
City Lafayette
State Indiana (IN)
Post Code 479034699
Phone Number 7654492732
Fax Number 7654491196

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 01048486A
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200189100 IN --
110556 IN ANTHEM PROVIDER NUMBER

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FAQs about Jerry A Jefson

What is the Jerry A Jefson's unique identification number?

The Jerry A Jefson has been assigned the NPI (National Provider Identifier) Number 1619946670 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Jerry A Jefson is physically located?

The Jerry A Jefson is physically situated at the following address: Po Box 4699, Lafayette, IN, 479034699.

What is Jerry A Jefson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jerry A Jefson's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1619946670 to Jerry A Jefson?

The Centers for Medicare & Medicaid Services assigned the 1619946670 to Jerry A Jefson on 2006-03-14.

When was the information related to Jerry A Jefson most recently updated or refreshed?

The details pertaining to the Jerry A Jefson, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-03-23.

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