Jackson, Charles Mark
Jackson, Charles Mark is an individual health care provider with primary practice located at 3 E Appleby Rd Ste 201 , Fayetteville AR 72703-3158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Jackson, Charles Mark can be contacted via phone (479) 404-1100.Contact Information
Primary practice address
3 E Appleby Rd Ste 201
Fayetteville AR 72703-3158
Phone: (479) 404-1100
Fax: (479) 404-1101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | E-9270 | Arkansas |
Profile Details
| NPI number | 1255659082 |
|---|---|
| LBN Legal business name | Jackson, Charles Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2010 |
| Last updated | Jun 19th, 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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