Jackman, Jeffrey A

Jackman, Jeffrey A is an individual health care provider with primary practice located at 4825 Mark Center Dr Ste 150 , Alexandria VA 22311-1846. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jackman, Jeffrey A can be contacted via phone (703) 751-8111.

Contact Information

Primary practice address
4825 Mark Center Dr Ste 150 Alexandria VA 22311-1846
Phone: (703) 751-8111
Fax: (703) 751-1105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101058984 Virginia

Profile Details

NPI number 1437111622
LBN Legal business name Jackman, Jeffrey A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Aug 25th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437111622 NPPES
Maryland MEDICAID 409325900
Maryland Other P00302186
Maryland MEDICAID 1437111622
Maryland MEDICAID 037480600

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