Jackson, Larry K
Jackson, Larry K is an individual health care provider with primary practice located at 2660 10Th Ave S Suite 528, Birmingham AL 35205-1605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Jackson, Larry K can be contacted via phone (205) 933-9258.Contact Information
Primary practice address
2660 10Th Ave S Suite 528
Birmingham AL 35205-1605
Phone: (205) 933-9258
Fax: (205) 933-6504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 00006718 | Alabama |
Profile Details
| NPI number | 1275574295 |
|---|---|
| LBN Legal business name | Jackson, Larry K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jan 22nd, 2010 - about 14 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 | 1275574295 | NPPES |
| Alabama | Other | 51087222 | BLUE CROSS |
| Alabama | Other | 87222 | BLUE CROSS |
| Alabama | Other | 410564 | BLUE CROSS |
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