Jackman, Todd Edward
Jackman, Todd Edward is an individual health care provider with primary practice located at 7373 France Ave S Ste 408 , Edina MN 55435-4549. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Jackman, Todd Edward can be contacted via phone (651) 430-3800.Contact Information
Primary practice address
7373 France Ave S Ste 408
Edina MN 55435-4549
Phone: (651) 430-3800
Fax: (651) 430-3827
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 47215 | Minnesota |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | MD00049377 | Washington |
Profile Details
NPI number | 1427259191 |
---|---|
LBN Legal business name | Jackman, Todd Edward |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 30th, 2007 |
Last updated | Jan 11th, 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 | 1427259191 | NPPES |
Washington | Other | G8876642 | MEDICARE EMRI |
Washington | Other | P00689386 | MEDICARE EMRI |
Washington | Other | G8876017 | MEDICARE EMRI |
Washington | Other | 0238823 | MEDICARE EMRI |
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