Howard Franklin Jackson in East Saint Louis - Foot Surgery
Howard Franklin Jackson - NPI 1255453718
Howard Franklin Jackson is a Foot Surgery in East Saint Louis, Illinois. Howard Franklin Jackson practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Howard Franklin Jackson is 1255453718. The last update date is 2007-07-08.
Howard Franklin Jackson's current location address is 4601 State St, East Saint Louis, Illinois. You can contact this provider via phone number 6188757230 and fax number 6188757230. The mailing address for Howard Franklin Jackson is 4601 State St, East Saint Louis, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Howard Franklin Jackson |
|---|---|
| Address | 4601 State St, East Saint Louis, Illinois |
| Phone Number | 6188757230 |
| Fax Number | 6188757230 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1255453718 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4601 State St |
|---|---|
| City | East Saint Louis |
| State | Illinois (IL) |
| Post Code | 622051359 |
| Phone Number | 6188757230 |
| Fax Number | 6188757230 |
Provider's Primary Taxonomy Detail
| Speciality | Foot Surgery |
|---|---|
| Taxonomy | 213Es0131X |
| Licence No | 16003650 |
|
Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2780264 | IL | UNITED HEALTHCARE | |
| 480004788 | IL | RAILROAD MEDICARE | |
| 60101272 | IL | BLUE SHEILD | |
| 16003650 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Howard Franklin Jackson by the Centers for Medicare & Medicaid Services?
The Howard Franklin Jackson has been issued the NPI (National Provider Identifier) 1255453718, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Howard Franklin Jackson?
The Howard Franklin Jackson is physically situated at 4601 State St, in the city of East Saint Louis, state of IL, with the postal code 622051359.
What is Howard Franklin Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Howard Franklin Jackson is Foot Surgery, and the taxonomy code that classifies this field of practice is 213Es0131X.
On what date did the Howard Franklin Jackson receive the assignment of its 1255453718 from the Centers for Medicare & Medicaid Services?
The Howard Franklin Jackson was issued its 1255453718 by the Centers for Medicare & Medicaid Services on 2007-04-04.
When was the information regarding Howard Franklin Jackson most recently updated?
The details pertaining to the Howard Franklin Jackson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.