Jackson, Christann L

Jackson, Christann L is an individual health care provider with primary practice located at 4815 Liberty Avenue Suite Gr59, Pittsburgh PA 15224-2156. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Jackson, Christann L can be contacted via phone (412) 578-3951.

Contact Information

Primary practice address
4815 Liberty Avenue Suite Gr59 Pittsburgh PA 15224-2156
Phone: (412) 578-3951
Fax: (412) 578-1587
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD025329E Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X MD025329E Pennsylvania

Profile Details

NPI number 1154339810
LBN Legal business name Jackson, Christann L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jan 2nd, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154339810 NPPES
Pennsylvania MEDICAID 001159026

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