Jackson, Devon Lamar

Jackson, Devon Lamar is an individual health care provider with primary practice located at 350 W 11Th St Rm 4083 , Indianapolis IN 46202-4108. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neuropathology. Allopathic & Osteopathic Physicians / Neuropathology is his primary health care specialty. Jackson, Devon Lamar can be contacted via phone (317) 491-6350.

Contact Information

Primary practice address
350 W 11Th St Rm 4083 Indianapolis IN 46202-4108
Phone: (317) 491-6350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X 01089337A Indiana

Profile Details

NPI number 1699160275
LBN Legal business name Jackson, Devon Lamar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2015
Last updated Jul 11th, 2023 - 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.

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