Jackson, Johnna Michelle
Jackson, Johnna Michelle is an individual health care provider with primary practice located at 500 Poplar St Suite 304, South Charleston WV 25309-1474. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Jackson, Johnna Michelle can be contacted via phone (304) 767-7770.Contact Information
Primary practice address
500 Poplar St Suite 304
South Charleston WV 25309-1474
Phone: (304) 767-7770
Fax: (304) 767-7779
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 1998 | West Virginia |
Profile Details
| NPI number | 1255537999 |
|---|---|
| LBN Legal business name | Jackson, Johnna Michelle |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2007 |
| Last updated | Dec 23rd, 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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