Dr. Edward C Jackman, MD
Family Medicine in Cottonwood, Arizona
1669733580- Practice location
- 269 S Candy Ln, Cottonwood, AZ 86326-4158
- Phone
- 928-639-6172
- Fax
- —
- Last updated
- March 2, 2021
Edward C Jackman is a Family Medicine based in Cottonwood, AZ. Edward C Jackman practices in Cottonwood, AZ and has the professional credentials of MD. The NPI Number for Edward C Jackman is 1669733580 and holds a License No. 58317 (AZ). The current practice location address for Edward C Jackman is 269 S Candy Ln, Cottonwood, AZ 86326-4158 and can be reached out via phone at 928-639-6172.
Provider Profile Details
- NPI Number
- 1669733580
- Provider Name
- Edward C Jackman
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 269 S Candy Ln, Cottonwood, AZ 86326-4158
- Phone Number
- 928-639-6172
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 7, 2012
- Last Update Date
- March 2, 2021
- Certification Date
- March 2, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 269 S Candy Ln
Cottonwood, AZ 86326-4158 - City
- Cottonwood
- State
- Arizona
- Zip
- 86326-4158
- Phone Number
- 928-639-6172
Provider Business Mailing Address Details
- Address
- 1200 N Beaver St
Flagstaff, AZ 86001-3118 - City
- Flagstaff
- State
- AZ
- Zip
- 86001-3118
- Phone Number
- 928-213-6235
- Fax Number
- 928-213-6292
License Information
- License Number (1)
- 58317
- License State (1)
- AZ
- Taxonomy (1)
- Emergency Medicine · 207P00000X
- License Number (2)
- 58317
- License State (2)
- AZ
- Taxonomy (2)
- Emergency Medicine, Undersea and Hyperbaric Medicine · 207PE0005X
- License Number (3)
- 58317
- License State (3)
- AZ
- Taxonomy (3)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Cottonwood, AZ
View all Family Medicine providers in Cottonwood →Frequently Asked Questions
What is the NPI number of Dr. Edward C Jackman, MD?
The NPI number of Dr. Edward C Jackman, MD is 1669733580. It was assigned on June 7, 2012 and is currently active in the NPPES registry.
What is the specialty of Dr. Edward C Jackman, MD?
Dr. Edward C Jackman, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in AZ under license number 58317.
Where does Dr. Edward C Jackman, MD practice?
The practice location is 269 S Candy Ln, Cottonwood, AZ 86326-4158. The office can be reached at 928-639-6172 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669733580 directly on the NPPES registry website.