Jackson, Jeffrey Kline
Jackson, Jeffrey Kline is an individual health care provider with primary practice located at 2347 Fifth Ave , Mckeesport PA 15132-1126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jackson, Jeffrey Kline can be contacted via phone (412) 673-5009.Contact Information
Primary practice address
2347 Fifth Ave
Mckeesport PA 15132-1126
Phone: (412) 673-5009
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD456697 | Pennsylvania |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036100744 | Illinois |
Profile Details
NPI number | 1194764860 |
---|---|
LBN Legal business name | Jackson, Jeffrey Kline |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2006 |
Last updated | Oct 13th, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194764860 | NPPES |
Illinois | Other | 833120 | MEDICARE GROUP # |
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