Jackson, David M
Jackson, David M is an individual health care provider with primary practice located at 1980 Tamarack Rd , Newark OH 43055-1363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Jackson, David M can be contacted via phone (740) 788-9220.Contact Information
Primary practice address
1980 Tamarack Rd
Newark OH 43055-1363
Phone: (740) 788-9220
Fax: (740) 788-9226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 35407273 | Ohio |
Profile Details
| NPI number | 1659392074 |
|---|---|
| LBN Legal business name | Jackson, David M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659392074 | NPPES |
| Ohio | MEDICAID | 0607776 |
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