Jacob Lee Dickinson in Mountain Home - Vascular Surgery
Jacob Lee Dickinson - NPI 1396866364
Jacob Lee Dickinson is a Vascular Surgery in Mountain Home, Arkansas. Jacob Lee Dickinson practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Jacob Lee Dickinson is 1396866364. The last update date is 2013-08-27.
Jacob Lee Dickinson's current location address is 901 Burnett Dr, Mountain Home, Arkansas. You can contact this provider via phone number 8704259120. The mailing address for Jacob Lee Dickinson is 901 Burnett Dr, Mountain Home, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob Lee Dickinson |
|---|---|
| Address | 901 Burnett Dr, Mountain Home, Arkansas |
| Phone Number | 8704259120 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1396866364 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2013-08-27 |
Provider Mailing Address Detail
| Address | 901 Burnett Dr |
|---|---|
| City | Mountain Home |
| State | Arkansas (AR) |
| Post Code | 726532908 |
| Phone Number | 8704259120 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | E-5452 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 168854001 | AR | -- |
Post Comment/ Review Below
What is the Jacob Lee Dickinson's unique identification number?
The Jacob Lee Dickinson has been assigned the NPI (National Provider Identifier) Number 1396866364 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 Jacob Lee Dickinson is physically located?
The Jacob Lee Dickinson is physically situated at the following address: 901 Burnett Dr, Mountain Home, AR, 726532908.
What is Jacob Lee Dickinson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jacob Lee Dickinson is Vascular Surgery, and the taxonomy code that classifies this field of practice is 2086S0129X.
On what date did Jacob Lee Dickinson receive its 1396866364 assignment from the Centers for Medicare & Medicaid Services?
The Jacob Lee Dickinson was assigned its 1396866364 on 2007-04-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jacob Lee Dickinson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jacob Lee Dickinson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-08-27.
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