Jackson, Alfred

Jackson, Alfred is an sole proprietor health care provider with primary practice located at 15001 E Oxford Ave , Aurora CO 80014-4186. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Jackson, Alfred can be contacted via phone (303) 693-1550.

Contact Information

Primary practice address
15001 E Oxford Ave Aurora CO 80014-4186
Phone: (303) 693-1550
Fax: (303) 693-8309
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 21387 Colorado

Profile Details

NPI number 1609923028
LBN Legal business name Jackson, Alfred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2007
Last updated Aug 28th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609923028 NPPES
Colorado MEDICAID 01213875

Popular Providers