Jackson, Brian R
Jackson, Brian R is an individual health care provider with primary practice located at 500 E Chipeta Way , Salt Lake City UT 84108-1221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Jackson, Brian R can be contacted via phone (801) 583-2787.Contact Information
Primary practice address
500 E Chipeta Way
Salt Lake City UT 84108-1221
Phone: (801) 583-2787
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | 5247478-1205 | Utah |
Profile Details
| NPI number | 1255421855 |
|---|---|
| LBN Legal business name | Jackson, Brian R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Jul 6th, 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.
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