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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790781177 NPPES
South Carolina Other 010026253 RAILROAD MEDICARE
South Carolina MEDICAID GP0279 RAILROAD MEDICARE

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