Timothy L Jackson in Manitowoc - Physician Assistant
Timothy L Jackson - NPI 1982623625
Timothy L Jackson is a Physician Assistant in Manitowoc, Wisconsin. Timothy L Jackson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Timothy L Jackson is 1982623625. The last update date is 2021-09-17.
Timothy L Jackson's current location address is 801 York St, Manitowoc, Wisconsin. You can contact this provider via phone number 9206639008 and fax number 9206841439. The mailing address for Timothy L Jackson is 801 York St, Manitowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy L Jackson |
|---|---|
| Address | 801 York St, Manitowoc, Wisconsin |
| Phone Number | 9206639008 |
| Fax Number | 9206841439 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1982623625 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2021-09-17 |
Provider Mailing Address Detail
| Address | 801 York St |
|---|---|
| City | Manitowoc |
| State | Wisconsin (WI) |
| Post Code | 542204630 |
| Phone Number | 9206639008 |
| Fax Number | 9206841439 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 110002037 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Timothy L Jackson by the Centers for Medicare & Medicaid Services?
The Timothy L Jackson has been issued the NPI (National Provider Identifier) 1982623625 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Timothy L Jackson is located?
The Timothy L Jackson is situated at the following address: 801 York St, Manitowoc, WI, 542204630.
Could you kindly provide the complete physical address where Timothy L Jackson's facilities are geographically located?
The facilities of Timothy L Jackson are physically situated at the following location: 801 York St, Manitowoc, WI, 542204630.
On what date did the Centers for Medicare & Medicaid Services assign the 1982623625 to Timothy L Jackson?
The Centers for Medicare & Medicaid Services assigned the 1982623625 to Timothy L Jackson on 2006-07-19.
When was the information related to Timothy L Jackson most recently updated or refreshed?
The details pertaining to the Timothy L Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-09-17.