Jack Todt French in Modesto - Physician Assistant
Jack Todt French - NPI 1760597769
Jack Todt French is a Physician Assistant in Modesto, California. Jack Todt French practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jack Todt French is 1760597769. The last update date is 2012-01-19.
Jack Todt French's current location address is 1114 6th St, Modesto, California. You can contact this provider via phone number 2095762845 and fax number 2095768842. The mailing address for Jack Todt French is 1114 6th St, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Todt French |
|---|---|
| Address | 1114 6th St, Modesto, California |
| Phone Number | 2095762845 |
| Fax Number | 2095768842 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1760597769 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2012-01-19 |
Provider Mailing Address Detail
| Address | 1114 6th St |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953542203 |
| Phone Number | 2095762845 |
| Fax Number | 2095768842 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 12487 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0104660 | CA | -- | |
| RHM53830H | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jack Todt French by the Centers for Medicare & Medicaid Services?
The Jack Todt French has been issued the NPI (National Provider Identifier) 1760597769, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jack Todt French's facilities are geographically located?
The facilities of Jack Todt French are physically situated at the following location: 1114 6Th St, Modesto, CA, 953542203.
What is Jack Todt French's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jack Todt French's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did Jack Todt French receive its 1760597769 assignment from the Centers for Medicare & Medicaid Services?
The Jack Todt French was assigned its 1760597769 on 2006-08-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jack Todt French's information last updated?
The Jack Todt French's information was last updated on 2012-01-19.