Jackerson, Jeffrey I
Jackerson, Jeffrey I is an individual health care provider with primary practice located at 640 S State Street Dept Of Radiology, Dover DE 19901-3530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Jackerson, Jeffrey I can be contacted via phone (302) 674-2202.Contact Information
Primary practice address
640 S State Street Dept Of Radiology
Dover DE 19901-3530
Phone: (302) 674-2202
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | C20004119 | Delaware |
Profile Details
| NPI number | 1427038280 |
|---|---|
| LBN Legal business name | Jackerson, Jeffrey I |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Mar 1st, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427038280 | NPPES |
| Delaware | MEDICAID | 0000601403 |
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