Jackson, Brian D

Jackson, Brian D is an individual health care provider with primary practice located at 1215 Hatcher Ln , Columbia TN 38401-3531. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Jackson, Brian D can be contacted via phone (615) 220-8788.

Contact Information

Primary practice address
1215 Hatcher Ln Columbia TN 38401-3531
Phone: (615) 220-8788
Fax: (615) 220-8688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 436 Tennessee

Profile Details

NPI number 1306842356
LBN Legal business name Jackson, Brian D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Mar 15th, 2023 - about last year

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 1306842356 NPPES
Tennessee Other 480034585 RAILROAD MEDICARE
Tennessee Other 4042682 RAILROAD MEDICARE
Tennessee Other DC1001 RAILROAD MEDICARE
Tennessee MEDICAID 3352132 RAILROAD MEDICARE

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