Jackson, Joseph P
Jackson, Joseph P is an sole proprietor health care provider with primary practice located at 507 Walnut St , Camden SC 29020-3649. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jackson, Joseph P can be contacted via phone (803) 432-9300.Contact Information
Primary practice address
507 Walnut St
Camden SC 29020-3649
Phone: (803) 432-9300
Fax: (803) 432-9307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 7447 | South Carolina |
Profile Details
| NPI number | 1790781177 |
|---|---|
| LBN Legal business name | Jackson, Joseph P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | May 21st, 2008 - about 16 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 | 1790781177 | NPPES |
| South Carolina | Other | 010026253 | RAILROAD MEDICARE |
| South Carolina | MEDICAID | GP0279 | RAILROAD MEDICARE |
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