Horace J Jackson Md Pc

LBN: Horace J Jackson Md Pc
Horace J Jackson Md Pc is an health care organization with primary practice located at 505 W Leigh Street Suite 207, Richmond VA 23220. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Horace J Jackson Md Pc can be contacted via phone (804) 788-0556, or through Jackson, Horace J via phone (804) 788-0556.

Contact Information

Primary practice address
505 W Leigh Street Suite 207 Richmond VA 23220
Phone: (804) 788-0556
Fax: (804) 788-1141
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Horace J Doctor of Medicine (MD)
Phone: (804) 788-0556

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1851324958
LBN Legal business name Horace J Jackson Md Pc
DBA Doing business as
Authorized official Jackson, Horace J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated Jun 24th, 2008 - about 17 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 1851324958 NPPES
Virginia MEDICAID 006O49656
Virginia Other 006954

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