Achilles, Jackson Todd

Achilles, Jackson Todd is an individual health care provider with primary practice located at 2018 Pulliam St , San Angelo TX 76905-5148. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Achilles, Jackson Todd can be contacted via phone (325) 658-6138.

Contact Information

Primary practice address
2018 Pulliam St San Angelo TX 76905-5148
Phone: (325) 658-6138
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X E8280 Texas

Profile Details

NPI number 1710913280
LBN Legal business name Achilles, Jackson Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Apr 5th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710913280 NPPES
Texas MEDICAID 123191205
Texas Other E8280

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