Jackson, Jon C

Jackson, Jon C is an sole proprietor health care provider with primary practice located at 2500 North State Street , Jackson MS 39216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Jackson, Jon C can be contacted via phone (601) 984-6441.

Contact Information

Primary practice address
2500 North State Street Jackson MS 39216
Phone: (601) 984-6441
Fax: (601) 815-6446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X T1958 Mississippi
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 21288 Mississippi

Profile Details

NPI number 1760669345
LBN Legal business name Jackson, Jon C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2008
Last updated Feb 5th, 2014 - about 10 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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