MR. JACK D KING III (NPI# 1477916450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477916450 |
| Entity Type | Individual |
| Full Name | MR. JACK D KING III |
| Practice Address |
440 N Main St Imlay City MI 48444-1151 |
| Practice Telephone | 8109379353 |
| Mailing Telephone | 8109379353 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811992332 | Jack Douglas King | Dentist | 1706 Davie Ave, Ste B, Statesville, NC 28677-3589 | 2005-06-21 |
| 1649811902 | Jack King | Speech-Language Pathologist | 2501 Rice Lake Rd, Duluth, MN 55811-4819 | 2019-10-07 |
| 1164563706 | Jack Donald King Jr. | Family Medicine | 1826 Ailor Ave, Knoxville, TN 37921-5802 | 2007-02-08 |
| 1922050780 | Jack Dennis King | Pediatrics | 3094 W Market St, Suite 103, Fairlawn, OH 44333-3626 | 2006-05-17 |
| Street Address |
440 N MAIN ST |
| City | IMLAY CITY |
| State | MI |
| Zip Code | 48444-1151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699244467 | Mark A. Lamb Dds PC | Dentist | 250 East Capac Rd, Imlay City, MI 48444 | 2018-11-21 |
| 1245771716 | Hannah Kay King | Behavior Technician | 8570 E Imlay City Rd., Imlay City, MI 48444 | 2017-03-16 |
| 1881729390 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 1813 South Van Dyke, Imlay City, MI 48444 | 2007-02-23 |
| 1194861310 | Daniel Jack Adams | Optometrist | 1813 S Van Dyke, Imlay City, MI 48444 | 2007-01-29 |
| 1255407243 | Michael Robert Warnars | Chiropractor | 125 E Capac Rd, Imlay City, MI 48444 | 2006-11-28 |
| 1477659761 | Laraine Kay Brower | Dental Hygienist | 124 N Saginaw Suite C, Holly, MI 48444 | 2006-09-15 |
| 1043278666 | Laura A Ellis | Physical Therapist | 1769 S Cedar, Imlay City, MI 48444 | 2006-05-03 |
| 1417920885 | Dobert LLC | Durable Medical Equipment & Medical Supplies | 325 E Capac Road, Imlay City, MI 48444 | 2006-02-08 |
| 1932185899 | David Andrew Noffert | Dentist | 6800 Newark Rd, #300, Imlay City, MI 48444 | 2005-12-21 |
| 1629537261 | Carolyn Eckhout | Pharmacist | 6672 Newark Rd, Imlay City, MI 48444 | 2019-03-13 |
| Find all providers in zip 48444 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639525348 | Danielle Borneisen | Technician, Other | 207 School House Dr, Imlay City, MI 48444-1241 | 2016-05-11 |
| 1386005122 | Christina Jones | Technician, Other | 1883 Hickory Ln Apt 101, Imlay City, MI 48444-8512 | 2016-03-07 |
| 1306214093 | Rochelle Hernandez | Technician, Other | 535 Bancroft St, Imlay City, MI 48444-1109 | 2015-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321200 | Jamie Price-tober | Technician, Other | 4777 Spitler Dr, Bay City, MI 48706-9498 | 2020-09-22 |
| 1043824535 | Audrey E Carlson | Technician, Other | 5 Skyhaven Ct, Saginaw, MI 48604-1820 | 2020-09-02 |
| 1417569666 | Nicole Gainforth | Technician, Other | 610 Hickory Ct, Sebewaing, MI 48759-1413 | 2020-08-19 |
| 1205447364 | Bryan David Wilkinson | Technician, Other | 153 E Auburn Trl, Brighton, MI 48114-5011 | 2020-08-12 |
| 1104442656 | Meredith Sparks | Technician, Other | 1053 Kirk Dr Se, Grand Rapids, MI 49546-3740 | 2020-06-21 |
| 1487276366 | Sarah Zimmerman | Technician, Other | 2341 Valleywood Dr Se Apt L12, Grand Rapids, MI 49546-7707 | 2020-05-13 |
| 1649890096 | Justice Kristina-marie Bass | Technician, Other | 401 E Willard Ave Apt 4, Lansing, MI 48910-3078 | 2020-04-24 |
| 1609400522 | Vickie Gaines | Technician, Other | 28096 Palomino Dr, Warren, MI 48093-4232 | 2020-02-29 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1376182766 | Katie Marie Morton | Technician, Other | 3210 Elnor Dr, Gladwin, MI 48624-8366 | 2020-01-02 |
| Find all providers with the same taxonomy | ||||
| City | IMLAY CITY |
| Zip Code | 48444 |
Please comment or provide details below to improve the information on MR. JACK D KING III.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.