Wayne Jeffery Jackson in Potsdam - Medical
Wayne Jeffery Jackson - NPI 1750387023
Wayne Jeffery Jackson is a Medical in Potsdam, New York. Wayne Jeffery Jackson practices all healthcare services and medical treatments related to Medical. The NPI Number for Wayne Jeffery Jackson is 1750387023. The last update date is 2021-03-31.
Wayne Jeffery Jackson's current location address is 50 Leroy St, Potsdam, New York. You can contact this provider via phone number 3152653300. The mailing address for Wayne Jeffery Jackson is 50 Leroy St, Potsdam, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wayne Jeffery Jackson |
|---|---|
| Address | 50 Leroy St, Potsdam, New York |
| Phone Number | 3152653300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1750387023 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2021-03-31 |
Provider Mailing Address Detail
| Address | 50 Leroy St |
|---|---|
| City | Potsdam |
| State | New York (NY) |
| Post Code | 1367617860 |
| Phone Number | 3152653300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 4496 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the Wayne Jeffery Jackson's unique identification number?
The Wayne Jeffery Jackson has been assigned the NPI (National Provider Identifier) Number 1750387023 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Wayne Jeffery Jackson located?
The Wayne Jeffery Jackson is located at 50 Leroy St, Potsdam, NY 1367617860.
What is the Wayne Jeffery Jackson's specialty and taxonomy code?
The Wayne Jeffery Jackson's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Wayne Jeffery Jackson receive its 1750387023 assignment from the Centers for Medicare & Medicaid Services?
The Wayne Jeffery Jackson was assigned its 1750387023 by the Centers for Medicare & Medicaid Services on 2005-06-22.
When was the information pertaining to Wayne Jeffery Jackson most recently updated or revised?
The details related to Wayne Jeffery Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2021-03-31.
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