Kristin Jackson in Little Falls - Podiatrist
Kristin Jackson - NPI 1720037724
Kristin Jackson is a Podiatrist in Little Falls, Minnesota. Kristin Jackson practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Kristin Jackson is 1720037724. The last update date is 2008-02-05.
Kristin Jackson's current location address is 1108 1st St Se, Little Falls, Minnesota. You can contact this provider via phone number 3206323671 and fax number 3206323728. The mailing address for Kristin Jackson is 1108 1st St Se, Little Falls, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kristin Jackson |
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Address | 1108 1st St Se, Little Falls, Minnesota |
Phone Number | 3206323671 |
Fax Number | 3206323728 |
Sole Proprietor | N |
Credentials | D.P.M. |
NPI Number Detail
NPI Number | 1720037724 |
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Provider Enumeration Date | 2006-05-08 |
Last Updated Date | 2008-02-05 |
Provider Mailing Address Detail
Address | 1108 1st St Se |
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City | Little Falls |
State | Minnesota (MN) |
Post Code | 563453440 |
Phone Number | 3206323671 |
Fax Number | 3206323728 |
Provider's Primary Taxonomy Detail
Speciality | Podiatrist |
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Taxonomy | 213E00000X |
Licence No | 612 |
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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967750000MN | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kristin Jackson by the Centers for Medicare & Medicaid Services?
The Kristin Jackson has been issued the NPI (National Provider Identifier) 1720037724, 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 Kristin Jackson is physically located?
The Kristin Jackson is situated at the following address: 1108 1St St Se, Little Falls, MN 563453440.
What is Kristin Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kristin Jackson is Podiatrist, and the taxonomy code that classifies this field of practice is 213E00000X.
On what date did the Kristin Jackson receive the assignment of its 1720037724 from the Centers for Medicare & Medicaid Services?
The Kristin Jackson was issued its 1720037724 by the Centers for Medicare & Medicaid Services on 2006-05-08.
When was the information related to Kristin Jackson most recently updated or refreshed?
The details pertaining to the Kristin Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-05.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY