Jackson, Garrett J
Jackson, Garrett J is an individual health care provider with primary practice located at 3750 Landmark Dr Suite B, Lafayette IN 47905-6652. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Jackson, Garrett J can be contacted via phone (765) 448-7981.Contact Information
Primary practice address
3750 Landmark Dr Suite B
Lafayette IN 47905-6652
Phone: (765) 448-7981
Fax: (765) 447-4172
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | West Virginia | |
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 01074880A | Indiana |
Profile Details
NPI number | 1336381631 |
---|---|
LBN Legal business name | Jackson, Garrett J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 1st, 2009 |
Last updated | Jan 14th, 2021 - about 3 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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