Courtney, Robert Jackson

Courtney, Robert Jackson is an individual health care provider with primary practice located at 1050 W South Boulder Rd Ste 2100 , Lafayette CO 80026-2818. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Courtney, Robert Jackson can be contacted via phone (303) 261-1600.

Contact Information

Primary practice address
1050 W South Boulder Rd Ste 2100 Lafayette CO 80026-2818
Phone: (303) 261-1600
Fax: (303) 261-1601
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 53928 Colorado
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 53928 Colorado

Profile Details

NPI number 1760649024
LBN Legal business name Courtney, Robert Jackson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2008
Last updated Mar 10th, 2020 - about 5 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 1760649024 NPPES
Colorado MEDICAID 51008815

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