Jackson, Annie M
Jackson, Annie M is an sole proprietor health care provider with primary practice located at 153 W Court St , Rutherfordton NC 28139-2804. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Jackson, Annie M can be contacted via phone (828) 288-0880.Contact Information
Primary practice address
153 W Court St
Rutherfordton NC 28139-2804
Phone: (828) 288-0880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 98-00575 | North Carolina |
Profile Details
| NPI number | 1891839866 |
|---|---|
| LBN Legal business name | Jackson, Annie M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Oct 2nd, 2013 - about 13 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 | 1891839866 | NPPES |
| North Carolina | MEDICAID | 891139E |
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