Jackman, Christopher Thomas
Jackman, Christopher Thomas is an individual health care provider with primary practice located at 545 Barnhill Dr Xe040, Indianapolis IN 46202-5112. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Jackman, Christopher Thomas can be contacted via phone (317) 274-4455.Contact Information
Primary practice address
545 Barnhill Dr Xe040
Indianapolis IN 46202-5112
Phone: (317) 274-4455
Fax: (317) 278-4918
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01066357 | Indiana |
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 01066357 | Indiana |
Profile Details
NPI number | 1609081264 |
---|---|
LBN Legal business name | Jackman, Christopher Thomas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 14th, 2007 |
Last updated | Feb 9th, 2021 - about 3 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 | 1609081264 | NPPES |
Indiana | MEDICAID | 200938620 |
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