Bernice D Jackson Md Cardiology Services, Pllc
LBN: Bernice D Jackson Md Cardiology Services, Pllc
Bernice D Jackson Md Cardiology Services, Pllc is an health care organization with primary practice located at 1160 Varnum St Ne Suite 314, Washington DC 20017-2107. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty.
Bernice D Jackson Md Cardiology Services, Pllc can be contacted via phone (202) 269-9249, or through Jackson, Bernice D. via phone (202) 269-9249.
Contact Information
Primary practice address
1160 Varnum St Ne Suite 314
Washington DC 20017-2107
Phone: (202) 269-9249
Fax: (202) 269-9271
Website:
Authorized official contact:
Name: Jackson, Bernice D. Doctor of Medicine (MD)
Phone: (202) 269-9249
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD17118 | District of Columbia |
Profile Details
| NPI number | 1750548657 |
|---|---|
| LBN Legal business name | Bernice D Jackson Md Cardiology Services, Pllc |
| DBA Doing business as | |
| Authorized official | Jackson, Bernice D. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 19th, 2008 |
| Last updated | Jul 2nd, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750548657 | NPPES |
| District of Columbia | MEDICAID | 027063100 | |
| District of Columbia | Other | 1639195407 |
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