Blair, Courtney Jackson

Blair, Courtney Jackson is an individual health care provider with primary practice located at 6888 Elm St Ste 301 , Mc Lean VA 22101-3829. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Blair, Courtney Jackson can be contacted via phone (703) 356-8290.

Contact Information

Primary practice address
6888 Elm St Ste 301 Mc Lean VA 22101-3829
Fax: (703) 356-8031
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36113297 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36113297 Illinois
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 0101243347 Virginia

Profile Details

NPI number 1730121344
LBN Legal business name Blair, Courtney Jackson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Feb 29th, 2016 - about 9 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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