Jackson, Donald E

Jackson, Donald E is an individual health care provider with primary practice located at 6716 Nw 11Th Place Ste 200, Gainesville FL 32605-4215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Jackson, Donald E can be contacted via phone (352) 331-9729.

Contact Information

Primary practice address
6716 Nw 11Th Place Ste 200 Gainesville FL 32605-4215
Phone: (352) 331-9729
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X ME60317 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME60317 Florida

Profile Details

NPI number 1740238153
LBN Legal business name Jackson, Donald E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Mar 15th, 2022 - about 2 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 1740238153 NPPES
Florida MEDICAID 054764600
Florida Other 12766
Florida Other 239216
Florida Other P00328037
Florida Other P00328037
Florida Other 12766
Florida Other 270855
Florida Other P00316730
Florida Other 1740238153
Florida Other P00316730

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