David L. Jackson, M.D., Psc
LBN: David L. Jackson, M.D., Psc
David L. Jackson, M.D., Psc is an health care organization with primary practice located at 2050 Versailles Rd , Lexington KY 40504-1405. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty.
David L. Jackson, M.D., Psc can be contacted via phone (859) 367-7110, or through Jackson, David L. via phone (859) 367-7110.
Contact Information
Primary practice address
2050 Versailles Rd
Lexington KY 40504-1405
Phone: (859) 367-7110
Fax: (859) 367-7138
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 24005 | Kentucky |
Profile Details
NPI number | 1811995996 |
---|---|
LBN Legal business name | David L. Jackson, M.D., Psc |
DBA Doing business as | |
Authorized official | Jackson, David L. Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 12th, 2005 |
Last updated | Feb 3rd, 2009 - 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 | 1811995996 | NPPES |
Kentucky | Other | 2300002 | UNITED HEALTHCARE PIN |
Kentucky | MEDICAID | 65925463 | UNITED HEALTHCARE PIN |
Kentucky | Other | C66084 | UNITED HEALTHCARE PIN |
Kentucky | Other | 000000050829 | UNITED HEALTHCARE PIN |
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