Jackson Clinic Llc

LBN: Jackson Clinic Llc
Jackson Clinic Llc is an health care organization with primary practice located at 33 Bedford St Ste 11 , Lexington MA 02420-4403. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Jackson Clinic Llc can be contacted via phone (781) 825-5390, or through Jackson, Annise via phone (781) 825-5390.

Contact Information

Primary practice address
33 Bedford St Ste 11 Lexington MA 02420-4403
Phone: (781) 825-5390
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Annise Doctor of Medicine (MD)
Phone: (781) 825-5390

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1235873811
LBN Legal business name Jackson Clinic Llc
DBA Doing business as
Authorized official Jackson, Annise Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2022
Last updated Apr 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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