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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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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