Jackson, James Benjamin

Jackson, James Benjamin is an sole proprietor health care provider with primary practice located at 2 Medical Park Rd Lower Level Suite L9/L10, Columbia SC 29203-6808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Jackson, James Benjamin can be contacted via phone (803) 434-6812.

Contact Information

Primary practice address
2 Medical Park Rd Lower Level Suite L9/L10 Columbia SC 29203-6808
Phone: (803) 434-6812
Fax: (803) 434-7306
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 37261 South Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 37261 South Carolina

Profile Details

NPI number 1912165234
LBN Legal business name Jackson, James Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2008
Last updated Mar 6th, 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 1912165234 NPPES
South Carolina MEDICAID 372616

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