Katharine Jackson in Wenatchee - Surgery

Katharine Jackson - NPI 1780840579

Katharine Jackson is a Surgery in Wenatchee, Washington. Katharine Jackson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Katharine Jackson is 1780840579. The last update date is 2015-03-22.

Katharine Jackson's current location address is 820 N Chelan Ave, Wenatchee, Washington. You can contact this provider via phone number 5096638711. The mailing address for Katharine Jackson is 820 N Chelan Ave, Wenatchee, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Katharine Jackson
Address 820 N Chelan Ave, Wenatchee, Washington
Phone Number 5096638711
Fax Number
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1780840579
Provider Enumeration Date 2008-08-01
Last Updated Date 2015-03-22

Provider Mailing Address Detail

Address 820 N Chelan Ave
City Wenatchee
State Washington (WA)
Post Code 988012028
Phone Number 5096638711
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No MD60462377
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
1780840579 WA --
P01421059 WA RR MEDICARE

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FAQs about Katharine Jackson

What is the unique provider identifier assigned to Katharine Jackson?

The Katharine Jackson has been issued the NPI (National Provider Identifier) 1780840579 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 Katharine Jackson is geographically located?

The Katharine Jackson is physically situated at the following location: 820 N Chelan Ave, Wenatchee, WA, 988012028.

What is Katharine Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Katharine Jackson is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.

On what date did the Katharine Jackson receive its 1780840579 assignment from the Centers for Medicare & Medicaid Services?

The Katharine Jackson was assigned its 1780840579 by the Centers for Medicare & Medicaid Services on 2008-08-01.

As of what date was the information regarding Katharine Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Katharine Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-03-22.

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