Alan F Jacks, Md Pa

LBN: Alan F Jacks, Md Pa
Alan F Jacks, Md Pa is an health care organization with primary practice located at 845 Malcolm Blvd , Rutherford College NC 28671-0476. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Alan F Jacks, Md Pa can be contacted via phone (828) 874-0555, or through Jacks, Alan F. via phone (828) 874-0555.

Contact Information

Primary practice address
845 Malcolm Blvd Rutherford College NC 28671-0476
Phone: (828) 874-0555
Fax: (828) 874-2111
Website:
Map and Directions
Authorized official contact:
Name: Jacks, Alan F. Doctor of Medicine (MD)
Phone: (828) 874-0555

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 96-01640 North Carolina

Profile Details

NPI number 1669471777
LBN Legal business name Alan F Jacks, Md Pa
DBA Doing business as
Authorized official Jacks, Alan F. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2005
Last updated Sep 8th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669471777 NPPES
North Carolina Other 1013E BCBS
North Carolina MEDICAID 5909135 BCBS
North Carolina MEDICAID 891013E BCBS
North Carolina Other 96-01640 BCBS

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