Jackson, Edward William

Jackson, Edward William is an sole proprietor health care provider with primary practice located at 786 S Left Hand Fork Hobble Creek Cyn , Springville UT 84663-5916. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Jackson, Edward William can be contacted via phone (801) 489-9381.

Contact Information

Primary practice address
786 S Left Hand Fork Hobble Creek Cyn Springville UT 84663-5916
Phone: (801) 489-9381
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 183721-1205 Utah
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 183721-1205 Utah

Profile Details

NPI number 1487367728
LBN Legal business name Jackson, Edward William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2023
Last updated Jan 2nd, 2023 - 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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