Jackson, Elizabeth Conner

Jackson, Elizabeth Conner is an individual health care provider with primary practice located at 740 S Limestone , Lexington KY 40536-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as her primary health care specialty. Jackson, Elizabeth Conner can be contacted via phone (859) 323-5481.

Contact Information

Primary practice address
740 S Limestone Lexington KY 40536-0001
Phone: (859) 323-5481
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 35. 082704 Ohio
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 23556 Kentucky

Profile Details

NPI number 1790705135
LBN Legal business name Jackson, Elizabeth Conner
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Oct 31st, 2011 - about 14 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 1790705135 NPPES
Kentucky MEDICAID 64235567

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