Jedward Pckering,Facc in Wynnewood - Clinic/center
Jedward Pckering,Facc - NPI 1912062027
Jedward Pckering,Facc is a Clinic/center in Wynnewood, Pennsylvania. Jedward Pckering,Facc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Jedward Pckering,Facc is 1912062027. The last update date is 2008-06-18.
Jedward Pckering,Facc's current location address is 100 E Lancaster Ave, Wynnewood, Pennsylvania. You can contact this provider via phone number 6106420100 and fax number 6106420919. The mailing address for Jedward Pckering,Facc is 100 E Lancaster Ave, Wynnewood, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jedward Pckering,Facc |
|---|---|
| Address | 100 E Lancaster Ave, Wynnewood, Pennsylvania |
| Phone Number | 6106420100 |
| Fax Number | 6106420919 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Pickering Jack |
| Credentials | M.D. |
| Telephone Number | 6106420100 |
NPI Number Detail
| NPI Number | 1912062027 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2008-06-18 |
Provider Mailing Address Detail
| Address | 100 E Lancaster Ave |
|---|---|
| City | Wynnewood |
| State | Pennsylvania (PA) |
| Post Code | 190963450 |
| Phone Number | 6106420100 |
| Fax Number | 6106420919 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 007173E |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jedward Pckering,Facc by the Centers for Medicare & Medicaid Services?
The Jedward Pckering,Facc has been assigned the NPI (National Provider Identifier) 1912062027 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Jedward Pckering,Facc is located?
The Jedward Pckering,Facc is situated at the following address: 100 E Lancaster Ave, Wynnewood, PA, 190963450.
What is the Jedward Pckering,Facc's specialty and taxonomy code?
The Jedward Pckering,Facc's specialty is Clinic/center, and the corresponding taxonomy code is 261Q00000X.
When was the Jedward Pckering,Facc's 1912062027 issued?
The Jedward Pckering,Facc's 1912062027 was issued on 2006-12-27.
As of what date were the details related to Jedward Pckering,Facc most recently updated or revised?
The information pertaining to Jedward Pckering,Facc, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-18.