Surgical Specialists Of St. Joseph, P.C. in Saint Joseph - Surgery

Surgical Specialists Of St. Joseph, P.C. - NPI 1144382789

Surgical Specialists Of St. Joseph, P.C. is a Surgery in Saint Joseph, Michigan. Surgical Specialists Of St. Joseph, P.C. practices all healthcare services and medical treatments related to Surgery. The NPI Number for Surgical Specialists Of St. Joseph, P.C. is 1144382789. The last update date is 2011-07-20.

Surgical Specialists Of St. Joseph, P.C.'s current location address is 2990 Niles Rd, Saint Joseph, Michigan. You can contact this provider via phone number 2699833368 and fax number 2699832758. The mailing address for Surgical Specialists Of St. Joseph, P.C. is 2990 Niles Rd, Saint Joseph, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Surgical Specialists Of St. Joseph, P.C.
Address 2990 Niles Rd, Saint Joseph, Michigan
Phone Number 2699833368
Fax Number 2699832758
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Hastings A. Jacquelyn
Telephone Number 2699833368

NPI Number Detail

NPI Number 1144382789
Provider Enumeration Date 2006-12-13
Last Updated Date 2011-07-20

Provider Mailing Address Detail

Address 2990 Niles Rd
City Saint Joseph
State Michigan (MI)
Post Code 490858607
Phone Number 2699833368
Fax Number 2699832758

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
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
020A110340 MI BCBS GROUP

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FAQs about Surgical Specialists Of St. Joseph, P.C.

What is the unique 10-digit identification code assigned to Surgical Specialists Of St. Joseph, P.C. by the Centers for Medicare & Medicaid Services?

The Surgical Specialists Of St. Joseph, P.C. has been issued the NPI (National Provider Identifier) 1144382789, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Surgical Specialists Of St. Joseph, P.C.'s physical address?

The Surgical Specialists Of St. Joseph, P.C. is physically located at 2990 Niles Rd, in the city of Saint Joseph, MI, with the postal code 490858607.

What is the Surgical Specialists Of St. Joseph, P.C.'s area of specialization and corresponding taxonomy classification?

The Surgical Specialists Of St. Joseph, P.C.'s specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1144382789 to Surgical Specialists Of St. Joseph, P.C.?

The Centers for Medicare & Medicaid Services originally issued the 1144382789 to Surgical Specialists Of St. Joseph, P.C. on 2006-12-13.

As of what date were the details pertaining to Surgical Specialists Of St. Joseph, P.C. last refreshed?

The information related to the Surgical Specialists Of St. Joseph, P.C., including its address, specialty, and other relevant details, was last updated on 2011-07-20.

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