Washtenaw Urology Clinic Pc in Jackson - Urology
Washtenaw Urology Clinic Pc - NPI 1134283633
Washtenaw Urology Clinic Pc is a Urology in Jackson, Michigan. Washtenaw Urology Clinic Pc practices all healthcare services and medical treatments related to Urology. The NPI Number for Washtenaw Urology Clinic Pc is 1134283633. The last update date is 2012-07-24.
Washtenaw Urology Clinic Pc's current location address is 1010 Burr Street, Jackson, Michigan. You can contact this provider via phone number 5177827474 and fax number 5177822128. The mailing address for Washtenaw Urology Clinic Pc is 1010 Burr Street, Jackson, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Washtenaw Urology Clinic Pc |
|---|---|
| Address | 1010 Burr Street, Jackson, Michigan |
| Phone Number | 5177827474 |
| Fax Number | 5177822128 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sykes P Jonathan |
| Credentials | MD |
| Telephone Number | 5177827474 |
NPI Number Detail
| NPI Number | 1134283633 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2012-07-24 |
Provider Mailing Address Detail
| Address | 1010 Burr Street |
|---|---|
| City | Jackson |
| State | Michigan (MI) |
| Post Code | 49201 |
| Phone Number | 5177827474 |
| Fax Number | 5177822128 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | JS056395 |
|
Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3421964 | MI | -- | |
| 4108684 | MI | -- | |
| 1689762916 | NPI |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Washtenaw Urology Clinic Pc by the Centers for Medicare & Medicaid Services?
The Washtenaw Urology Clinic Pc has been issued the NPI (National Provider Identifier) 1134283633, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Washtenaw Urology Clinic Pc is physically located?
The Washtenaw Urology Clinic Pc is situated at the following address: 1010 Burr Street, Jackson, MI 49201.
What is Washtenaw Urology Clinic Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Washtenaw Urology Clinic Pc's area of specialization is Urology, and the corresponding taxonomy code that categorizes this field of practice is 208800000X.
On what date did the Washtenaw Urology Clinic Pc receive its 1134283633 assignment from the Centers for Medicare & Medicaid Services?
The Washtenaw Urology Clinic Pc was assigned its 1134283633 by the Centers for Medicare & Medicaid Services on 2006-12-20.
As of what date were the Washtenaw Urology Clinic Pc's details last updated?
The information pertaining to the Washtenaw Urology Clinic Pc, including its address, specialty, and other details, was most recently updated on 2012-07-24.