Timothy Gerald Breaux in Jackson - Nurse Anesthetist, Certified Registered

Timothy Gerald Breaux - NPI 1770537136

Timothy Gerald Breaux is a Nurse Anesthetist, Certified Registered in Jackson, Michigan. Timothy Gerald Breaux practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Timothy Gerald Breaux is 1770537136. The last update date is 2007-09-13.

Timothy Gerald Breaux's current location address is 744 W Michigan Ave, Jackson, Michigan. You can contact this provider via phone number 8002421131 and fax number 5177874146. The mailing address for Timothy Gerald Breaux is 744 W Michigan Ave, Jackson, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy Gerald Breaux
Address 744 W Michigan Ave, Jackson, Michigan
Phone Number 8002421131
Fax Number 5177874146
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1770537136
Provider Enumeration Date 2006-05-20
Last Updated Date 2007-09-13

Provider Mailing Address Detail

Address 744 W Michigan Ave
City Jackson
State Michigan (MI)
Post Code 492011909
Phone Number 8002421131
Fax Number 5177874146

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No RN085125
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1153401 LA --

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FAQs about Timothy Gerald Breaux

What is the unique 10-digit identifier code issued to Timothy Gerald Breaux by the Centers for Medicare & Medicaid Services?

The Timothy Gerald Breaux has been assigned the NPI (National Provider Identifier) 1770537136 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 Timothy Gerald Breaux is located?

The Timothy Gerald Breaux is situated at the following address: 744 W Michigan Ave, Jackson, MI, 492011909.

What is Timothy Gerald Breaux's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Timothy Gerald Breaux's specialized field of practice is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this area of specialization is 367500000X.

On what date was the 1770537136 assigned to Timothy Gerald Breaux?

The Timothy Gerald Breaux was issued its 1770537136 on 2006-05-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Timothy Gerald Breaux, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Timothy Gerald Breaux, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-13.

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