Jackson Family Medicine, Llc

LBN: Jackson Family Medicine, Llc
Jackson Family Medicine, Llc is an health care organization with primary practice located at 10 Saint Patricks Dr #502, Waldorf MD 20603-4527. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Jackson Family Medicine, Llc can be contacted via phone (301) 885-3350, or through Jackson, Dainty J via phone (301) 885-3350.

Contact Information

Primary practice address
10 Saint Patricks Dr #502 Waldorf MD 20603-4527
Phone: (301) 885-3350
Fax: (301) 885-0061
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Dainty J DO.,MPA.,MT.,ASCP.
Phone: (301) 885-3350

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X H0058218 Maryland

Profile Details

NPI number 1780825224
LBN Legal business name Jackson Family Medicine, Llc
DBA Doing business as
Authorized official Jackson, Dainty J DO.,MPA.,MT.,ASCP.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2009
Last updated Mar 12th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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