Jackson Physician Corp in Jackson - Pediatric Urology
Jackson Physician Corp - NPI 1023219425
Jackson Physician Corp is a Pediatric Urology in Jackson, Kentucky. Jackson Physician Corp practices all healthcare services and medical treatments related to Pediatric Urology. The NPI Number for Jackson Physician Corp is 1023219425. The last update date is 2020-08-22.
Jackson Physician Corp's current location address is Po Box 790, Jackson, Kentucky. You can contact this provider via phone number 6066930531 and fax number 6066930535. The mailing address for Jackson Physician Corp is Po Box 790, Jackson, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Physician Corp |
|---|---|
| Address | Po Box 790, Jackson, Kentucky |
| Phone Number | 6066930531 |
| Fax Number | 6066930535 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC COO |
|---|---|
| Authorized Official Name | Campbell L Loretta |
| Telephone Number | 6066930531 |
NPI Number Detail
| NPI Number | 1023219425 |
|---|---|
| Provider Enumeration Date | 2007-05-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 790 |
|---|---|
| City | Jackson |
| State | Kentucky (KY) |
| Post Code | 413390790 |
| Phone Number | 6066930531 |
| Fax Number | 6066930535 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Urology |
|---|---|
| Taxonomy | 2088P0231X |
| Licence No | 25492 |
|
Definition: Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jackson Physician Corp by the Centers for Medicare & Medicaid Services?
The Jackson Physician Corp has been assigned the NPI (National Provider Identifier) 1023219425 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jackson Physician Corp?
The Jackson Physician Corp is situated at Po Box 790, in the city of Jackson, state of KY, with the zip code 413390790.
What is the Jackson Physician Corp's specialty and taxonomy code?
The Jackson Physician Corp's specialty is Pediatric Urology, and the corresponding taxonomy code is 2088P0231X.
On what date did Jackson Physician Corp receive its 1023219425 assignment from the Centers for Medicare & Medicaid Services?
The Jackson Physician Corp was assigned its 1023219425 on 2007-05-31, 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 Jackson Physician Corp most recently updated?
The details pertaining to the Jackson Physician Corp, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.