Jackson, Christopher
Jackson, Christopher is an individual health care provider with primary practice located at 171 Kempsville Rd Ste 201 , Norfolk VA 23502-4700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, which is considered as his primary health care specialty. Jackson, Christopher can be contacted via phone (757) 668-6550.Contact Information
Primary practice address
171 Kempsville Rd Ste 201
Norfolk VA 23502-4700
Phone: (757) 668-6550
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | 0101281947 | Virginia |
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | 35.142188 | Ohio |
Profile Details
NPI number | 1043673387 |
---|---|
LBN Legal business name | Jackson, Christopher |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 4th, 2016 |
Last updated | Jun 21st, 2024 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043673387 | NPPES |
Ohio | MEDICAID | 0499026 |
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