Jackson, Eric A

Jackson, Eric A is an individual health care provider with primary practice located at 811 Sixth Street, Suite #210 , Wichita Falls TX 76301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jackson, Eric A can be contacted via phone (940) 761-6004.

Contact Information

Primary practice address
811 Sixth Street, Suite #210 Wichita Falls TX 76301
Phone: (940) 761-6004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X TPA00011 Mississippi
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DO TRAINING CERT. Ohio

Profile Details

NPI number 1518042233
LBN Legal business name Jackson, Eric A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Jun 2nd, 2018 - about 6 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 1518042233 NPPES
Mississippi MEDICAID 192110801

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