Jackson, Jean Leigh

Jackson, Jean Leigh is an individual health care provider with primary practice located at 2014 Washington St , Newton MA 02462. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Jackson, Jean Leigh can be contacted via phone (617) 243-6040.

Contact Information

Primary practice address
2014 Washington St Newton MA 02462
Phone: (617) 243-6040
Fax: (617) 243-6924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 212899 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 07406 Rhode Island

Profile Details

NPI number 1700840162
LBN Legal business name Jackson, Jean Leigh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jan 15th, 2008 - about 16 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 1700840162 NPPES
Other 212899 TUFTS
Other J25711 TUFTS
MEDICAID 3204821 TUFTS
Other 5480 TUFTS

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