Jackson, Frank Wilson
Jackson, Frank Wilson is an individual health care provider with primary practice located at 423 N 21St St Suite 100, Camp Hill PA 17011-2207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Jackson, Frank Wilson can be contacted via phone (717) 761-0930.Contact Information
Primary practice address
423 N 21St St Suite 100
Camp Hill PA 17011-2207
Phone: (717) 761-0930
Fax: (717) 761-0465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD055416L | Pennsylvania |
Profile Details
| NPI number | 1164421673 |
|---|---|
| LBN Legal business name | Jackson, Frank Wilson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Sep 15th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164421673 | NPPES |
| Pennsylvania | Other | 01024101 | CAPITAL BLUE CROSS |
| Pennsylvania | MEDICAID | 0016834680003 | CAPITAL BLUE CROSS |
| Pennsylvania | Other | 5333615 | CAPITAL BLUE CROSS |
| Pennsylvania | Other | G84061 | CAPITAL BLUE CROSS |
| Pennsylvania | Other | 527552 | CAPITAL BLUE CROSS |
| Pennsylvania | Other | 100012586 | CAPITAL BLUE CROSS |
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