Jackson, David Neal

Jackson, David Neal is an individual health care provider with primary practice located at 1707 W Charleston Blvd #120, Las Vegas NV 89102-2351. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Jackson, David Neal can be contacted via phone (702) 671-5140.

Contact Information

Primary practice address
1707 W Charleston Blvd #120 Las Vegas NV 89102-2351
Phone: (702) 671-5140
Fax: (702) 385-2745
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 01065052A Indiana
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 8687 Montana
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 12911 Nevada

Profile Details

NPI number 1235236308
LBN Legal business name Jackson, David Neal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 23rd, 2021 - about 3 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 1235236308 NPPES
Montana MEDICAID 0017663
Montana Other 12911
Montana Other 01065052A
Montana Other 8687

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