Alfred B Jackson is a Surgical in Oxford, Pennsylvania. Alfred B Jackson practices all healthcare services and medical treatments related to Surgical. The NPI Number for Alfred B Jackson is 1417078908. The last update date is 2010-04-06.
Alfred B Jackson's current location address is 797 Slate Hill Dr, Oxford, Pennsylvania. You can contact this provider via phone number 6109327007. The mailing address for Alfred B Jackson is 797 Slate Hill Dr, Oxford, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Alfred B Jackson |
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Address | 797 Slate Hill Dr, Oxford, Pennsylvania |
Phone Number | 6109327007 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C, MBA |
NPI Number Detail
NPI Number | 1417078908 |
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Provider Enumeration Date | 2007-04-02 |
Last Updated Date | 2010-04-06 |
Provider Mailing Address Detail
Address | 797 Slate Hill Dr |
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City | Oxford |
State | Pennsylvania (PA) |
Post Code | 193631833 |
Phone Number | 6109327007 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Licence No | C5-0000216 |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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What is the unique identifier code issued to Alfred B Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Alfred B Jackson has been assigned the NPI (National Provider Identifier) 1417078908. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Alfred B Jackson?
The Alfred B Jackson is physically situated at 797 Slate Hill Dr, in the city of Oxford, state of PA, with the postal code 193631833.
What is the Alfred B Jackson's area of specialization and corresponding taxonomy classification?
The Alfred B Jackson's specialty field is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417078908 to Alfred B Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1417078908 to Alfred B Jackson on 2007-04-02.
When was the information pertaining to Alfred B Jackson most recently updated or revised?
The details related to Alfred B Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2010-04-06.
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