Jackson, James Mark

Jackson, James Mark is an individual health care provider with primary practice located at 501 S 2Nd St , Louisville KY 40202-1864. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Jackson, James Mark can be contacted via phone (502) 583-7546.

Contact Information

Primary practice address
501 S 2Nd St Louisville KY 40202-1864
Phone: (502) 583-7546
Fax: (502) 589-3429
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01085873A Indiana
Allopathic & Osteopathic Physicians / Dermatology 207N00000X J8602 Texas
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 31633 Kentucky

Profile Details

NPI number 1205830007
LBN Legal business name Jackson, James Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Sep 17th, 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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