Jackson, Francis D.

Jackson, Francis D. is an sole proprietor health care provider with primary practice located at 715 Williams St , Cumberland MD 21502-6390. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Jackson, Francis D. can be contacted via phone (301) 759-3817.

Contact Information

Primary practice address
715 Williams St Cumberland MD 21502-6390
Fax: (301) 759-3286
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D20433 Maryland

Profile Details

NPI number 1790782563
LBN Legal business name Jackson, Francis D.
Credentials M.D., P.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Apr 26th, 2012 - about 12 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 1790782563 NPPES
Maryland MEDICAID 305991400

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