Timothy Jacks D.O.

  • NPI 1164686549
According to our database, the NPI number for Timothy Jacks D.O. is 1164686549 and activated since 15 years ago. Timothy Jacks D.O. is an individual provider who specializes in Pediatrics, and the primary practice location is 4540 E Baseline Rd, Mesa, AZ 85206. You can also contact Timothy Jacks D.O. via telephone number is (480) 892-3880. Provider NPI information was last updated on 05/17/2013.

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Overview of Timothy Jacks D.O.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/15/2008
  • Last updated: 05/17/2013

Primary Scrop of Practice

  • Taxonomy Code: 208000000X
  • Specialty: Pediatrics
  • License Number: R70095
  • License State: AZ

Provider Mailing Address

  • Address: 4540 E Baseline Rd
    Suite 108
    Mesa, AZ 85206
  • Phone: 480-892-3880
  • Fax: 480-545-4551

Provider Practice Location

  • Address: 4540 E Baseline Rd
    Suite 108
    Mesa, AZ 85206
  • Phone: 480-892-3880
  • Fax: 480-545-4551

Scope of Practice

  • Taxonomy Code: 208000000X
  • Specialty: Pediatrics
  • License Number: R70095
  • License State: AZ
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: R70095
  • Identifier Type: Other
  • Identifier State: AZ
  • Issuer: TRAINING PERMIT

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Timothy Jacks D.O.?
  • A: The npi number for Timothy Jacks D.O. is 1164686549.
  • Q: What are Timothy Jacks D.O.'s specialties?
  • A: Timothy Jacks D.O.'s specialties are Pediatrics and different specialities.
  • Q: What is the medical license for Timothy Jacks D.O.?
  • A: The medical license number for Timothy Jacks D.O. is R70095 and issued in AZ in USA.
  • Q: Where is Timothy Jacks D.O. practice location?
  • A: Timothy Jacks D.O. is practicing at 4540 E Baseline Rd, Mesa, AZ 85206.
  • Q: How to contact Timothy Jacks D.O.?
  • A: You can contact Timothy Jacks D.O. via 480-892-3880.