Jackson, Jerry Jay

Jackson, Jerry Jay is an sole proprietor health care provider with primary practice located at 3134 Northside Dr Bldg B, Key West FL 33040-8004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Jackson, Jerry Jay can be contacted via phone (305) 809-5278.

Contact Information

Primary practice address
3134 Northside Dr Bldg B Key West FL 33040-8004
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME114239 Florida
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 64653 Georgia

Profile Details

NPI number 1881874584
LBN Legal business name Jackson, Jerry Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2007
Last updated Oct 16th, 2013 - about 11 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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