Jackson, Joanna M

Jackson, Joanna M is an sole proprietor health care provider with primary practice located at 20201 Crawford Ave C/O Postdoctoral Education, Olympia Fields IL 60461-1010. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Jackson, Joanna M can be contacted via phone (708) 747-4000.

Contact Information

Primary practice address
20201 Crawford Ave C/O Postdoctoral Education Olympia Fields IL 60461-1010
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02003343A Indiana

Profile Details

NPI number 1841430139
LBN Legal business name Jackson, Joanna M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2009
Last updated Feb 11th, 2022 - about 2 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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