Jack Allan Stauffer in Summerville - Family
Jack Allan Stauffer - NPI 1396703740
Jack Allan Stauffer is a Family in Summerville, South Carolina. Jack Allan Stauffer practices all healthcare services and medical treatments related to Family. The NPI Number for Jack Allan Stauffer is 1396703740. The last update date is 2016-08-30.
Jack Allan Stauffer's current location address is 435 N Cedar St, Summerville, South Carolina. You can contact this provider via phone number 8438731592 and fax number 8438203373. The mailing address for Jack Allan Stauffer is 435 N Cedar St, Summerville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Allan Stauffer |
|---|---|
| Address | 435 N Cedar St, Summerville, South Carolina |
| Phone Number | 8438731592 |
| Fax Number | 8438203373 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1396703740 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2016-08-30 |
Provider Mailing Address Detail
| Address | 435 N Cedar St |
|---|---|
| City | Summerville |
| State | South Carolina (SC) |
| Post Code | 294836407 |
| Phone Number | 8438731592 |
| Fax Number | 8438203373 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 629 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00851396 | SC | RR MEDICARE PTAN | |
| NP0021 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jack Allan Stauffer by the Centers for Medicare & Medicaid Services?
The Jack Allan Stauffer has been assigned the NPI (National Provider Identifier) 1396703740 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jack Allan Stauffer is located?
The Jack Allan Stauffer is situated at the following address: 435 N Cedar St, Summerville, SC, 294836407.
What is Jack Allan Stauffer's area of expertise and its corresponding taxonomy classification?
The Jack Allan Stauffer's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jack Allan Stauffer receive the assignment of its 1396703740 from the Centers for Medicare & Medicaid Services?
The Jack Allan Stauffer was issued its 1396703740 by the Centers for Medicare & Medicaid Services on 2006-05-03.
As of what date was the information pertaining to Jack Allan Stauffer, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jack Allan Stauffer, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-08-30.