Michael Jack in Joplin - Nurse Anesthetist, Certified Registered
Michael Jack - NPI 1629023288
Michael Jack is a Nurse Anesthetist, Certified Registered in Joplin, Missouri. Michael Jack practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Michael Jack is 1629023288. The last update date is 2007-10-23.
Michael Jack's current location address is Po Box 3810, Joplin, Missouri. You can contact this provider via phone number 4173471078 and fax number 4173471079. The mailing address for Michael Jack is Po Box 3810, Joplin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Jack |
|---|---|
| Address | Po Box 3810, Joplin, Missouri |
| Phone Number | 4173471078 |
| Fax Number | 4173471079 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1629023288 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2007-10-23 |
Provider Mailing Address Detail
| Address | Po Box 3810 |
|---|---|
| City | Joplin |
| State | Missouri (MO) |
| Post Code | 648033810 |
| Phone Number | 4173471078 |
| Fax Number | 4173471079 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 83875 |
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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 |
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Post Comment/ Review Below
What is the unique identifier code issued to Michael Jack by the Centers for Medicare & Medicaid Services?
The Michael Jack has been assigned the NPI (National Provider Identifier) 1629023288. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Michael Jack's facilities are geographically located?
The facilities of Michael Jack are physically situated at the following location: Po Box 3810, Joplin, MO, 648033810.
What is Michael Jack's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael Jack's area of specialization is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this field of practice is 367500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629023288 to Michael Jack?
The Centers for Medicare & Medicaid Services originally issued the 1629023288 to Michael Jack on 2006-05-23.
As of what date were the Michael Jack's details last updated?
The information pertaining to the Michael Jack, including its address, specialty, and other details, was most recently updated on 2007-10-23.