Jackson, Juliet Alexandra

Jackson, Juliet Alexandra is an individual health care provider with primary practice located at 2800 Main St , Bridgeport CT 06606-4292. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Jackson, Juliet Alexandra can be contacted via phone (203) 576-6000.

Contact Information

Primary practice address
2800 Main St Bridgeport CT 06606-4292
Phone: (203) 576-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 267424-1 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 52906 Connecticut

Profile Details

NPI number 1124261086
LBN Legal business name Jackson, Juliet Alexandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2009
Last updated Jun 22nd, 2020 - about 4 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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