Jackson, Benita Marie

Jackson, Benita Marie is an sole proprietor health care provider with primary practice located at 7252 Tumblebrook Dr , New Albany OH 43054-8891. She recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as her primary health care specialty. Jackson, Benita Marie can be contacted via phone (614) 933-0095.

Contact Information

Primary practice address
7252 Tumblebrook Dr New Albany OH 43054-8891
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 35-061647 Ohio

Profile Details

NPI number 1699832709
LBN Legal business name Jackson, Benita Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Jul 8th, 2007 - about 18 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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