Jackson, Daniel Aaron

Jackson, Daniel Aaron is an individual health care provider with primary practice located at 10 High St Suite 204, Lewiston ME 04240-7640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Jackson, Daniel Aaron can be contacted via phone (207) 784-1699.

Contact Information

Primary practice address
10 High St Suite 204 Lewiston ME 04240-7640
Phone: (207) 784-1699
Fax: (207) 784-7554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 016843 Maine

Profile Details

NPI number 1215950506
LBN Legal business name Jackson, Daniel Aaron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Mar 26th, 2020 - about 5 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 1215950506 NPPES
Maine Other 100164 ANTHEM
Maine MEDICAID 432127199 ANTHEM
Maine Other P00302530 ANTHEM
Maine Other 7902779 ANTHEM
Maine Other 8437892 ANTHEM

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