Fredric N. Jackson Md Inc Ps

LBN: Fredric N. Jackson Md Inc Ps
Fredric N. Jackson Md Inc Ps is an health care organization with primary practice located at 16259 Sylvester Rd Sw Suite 404, Burien WA 98166-3049. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Fredric N. Jackson Md Inc Ps can be contacted via phone (206) 241-1818, or through Jackson, Fredric N via phone (206) 241-1818.

Contact Information

Primary practice address
16259 Sylvester Rd Sw Suite 404 Burien WA 98166-3049
Phone: (206) 241-1818
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Fredric N Doctor of Medicine (MD)
Phone: (206) 241-1818

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1144248014
LBN Legal business name Fredric N. Jackson Md Inc Ps
DBA Doing business as
Authorized official Jackson, Fredric N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
Last updated May 12th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144248014 NPPES
Washington Other 110046684 RR MEDICARE
Washington MEDICAID 7144389 RR MEDICARE

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