Jackman, Robert P

Jackman, Robert P is an individual health care provider with primary practice located at 2821 Daggett Ave Ste 200 , Klamath Falls OR 97601-1106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jackman, Robert P can be contacted via phone (541) 274-8400.

Contact Information

Primary practice address
2821 Daggett Ave Ste 200 Klamath Falls OR 97601-1106
Fax: (541) 274-8405
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD22734 Oregon

Profile Details

NPI number 1922047612
LBN Legal business name Jackman, Robert P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Feb 11th, 2020 - about 5 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 1922047612 NPPES
Oregon Other H64487 CHAMPUS
Oregon Other H073533 CHAMPUS
Oregon MEDICAID 286522 CHAMPUS
Oregon Other 059575000 CHAMPUS
Oregon Other 140008075 CHAMPUS
Oregon Other XPY200005 CHAMPUS

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