Jackson, Don Jobe

Jackson, Don Jobe is an individual health care provider with primary practice located at 1920 Pickens St , Columbia SC 29201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jackson, Don Jobe can be contacted via phone (803) 779-3070.

Contact Information

Primary practice address
1920 Pickens St Columbia SC 29201
Fax: (803) 771-7639
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 11095 South Carolina

Profile Details

NPI number 1811950215
LBN Legal business name Jackson, Don Jobe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Oct 10th, 2007 - about 18 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 1811950215 NPPES
South Carolina MEDICAID 110953

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