Jackson Family Foot & Ankle Care, Llc in Jackson - Foot & Ankle Surgery
Jackson Family Foot & Ankle Care, Llc - NPI 1104025931
Jackson Family Foot & Ankle Care, Llc is a Foot & Ankle Surgery in Jackson, New Jersey. Jackson Family Foot & Ankle Care, Llc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Jackson Family Foot & Ankle Care, Llc is 1104025931. The last update date is 2010-12-10.
Jackson Family Foot & Ankle Care, Llc's current location address is 100 W Veterans Hwy, Jackson, New Jersey. You can contact this provider via phone number 7328336888 and fax number 7328336280. The mailing address for Jackson Family Foot & Ankle Care, Llc is 100 W Veterans Hwy, Jackson, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Family Foot & Ankle Care, Llc |
|---|---|
| Address | 100 W Veterans Hwy, Jackson, New Jersey |
| Phone Number | 7328336888 |
| Fax Number | 7328336280 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Blakeslee Christopher |
| Credentials | DPM |
| Telephone Number | 7328336888 |
NPI Number Detail
| NPI Number | 1104025931 |
|---|---|
| Provider Enumeration Date | 2007-07-12 |
| Last Updated Date | 2010-12-10 |
Provider Mailing Address Detail
| Address | 100 W Veterans Hwy |
|---|---|
| City | Jackson |
| State | New Jersey (NJ) |
| Post Code | 85273435 |
| Phone Number | 7328336888 |
| Fax Number | 7328336280 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 25MD00263900 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9052801 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jackson Family Foot & Ankle Care, Llc by the Centers for Medicare & Medicaid Services?
The Jackson Family Foot & Ankle Care, Llc has been assigned the NPI (National Provider Identifier) 1104025931 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Jackson Family Foot & Ankle Care, Llc is geographically located?
The Jackson Family Foot & Ankle Care, Llc is physically situated at the following location: 100 W Veterans Hwy, Jackson, NJ, 85273435.
What is the Jackson Family Foot & Ankle Care, Llc's specialty and taxonomy code?
The Jackson Family Foot & Ankle Care, Llc's specialty is Foot & Ankle Surgery, and the corresponding taxonomy code is 213Es0103X.
When did Jackson Family Foot & Ankle Care, Llc receive its 1104025931 assignment?
The Jackson Family Foot & Ankle Care, Llc was assigned its 1104025931 on 2007-07-12, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Jackson Family Foot & Ankle Care, Llc most recently updated or revised?
The details related to Jackson Family Foot & Ankle Care, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2010-12-10.