Jackson, Doreen Onipede

Jackson, Doreen Onipede is an sole proprietor health care provider with primary practice located at 101 Bodin Circle , Travis Air Force Base CA 94535-1800. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Jackson, Doreen Onipede can be contacted via phone (919) 753-6879.

Contact Information

Primary practice address
101 Bodin Circle Travis Air Force Base CA 94535-1800
Phone: (919) 753-6879
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 171636 California
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X ME139661 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X 204413 North Carolina
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 171636 California

Profile Details

NPI number 1649615287
LBN Legal business name Jackson, Doreen Onipede
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2013
Last updated Aug 19th, 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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