Billy Michael Jackson in Los Alamos - Surgery
Billy Michael Jackson - NPI 1629076864
Billy Michael Jackson is a Surgery in Los Alamos, New Mexico. Billy Michael Jackson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Billy Michael Jackson is 1629076864. The last update date is 2008-04-16.
Billy Michael Jackson's current location address is 3917 West Rd, Los Alamos, New Mexico. You can contact this provider via phone number 5056624351 and fax number 5056624351. The mailing address for Billy Michael Jackson is 3917 West Rd, Los Alamos, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Billy Michael Jackson |
|---|---|
| Address | 3917 West Rd, Los Alamos, New Mexico |
| Phone Number | 5056624351 |
| Fax Number | 5056624351 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629076864 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2008-04-16 |
Provider Mailing Address Detail
| Address | 3917 West Rd |
|---|---|
| City | Los Alamos |
| State | New Mexico (NM) |
| Post Code | 87544 |
| Phone Number | 5056624351 |
| Fax Number | 5056624351 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 72160 |
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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; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18523 | NM | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Billy Michael Jackson?
The Billy Michael Jackson has been issued the NPI (National Provider Identifier) 1629076864 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Billy Michael Jackson is geographically located?
The Billy Michael Jackson is physically situated at the following location: 3917 West Rd, Los Alamos, NM, 87544.
What is Billy Michael Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Billy Michael Jackson's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
When was the Billy Michael Jackson's 1629076864 issued?
The Billy Michael Jackson's 1629076864 was issued on 2005-07-12.
As of what date was the information pertaining to Billy Michael Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Billy Michael Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-16.
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