Jackson, Marie C

Jackson, Marie C is an individual health care provider with primary practice located at 2000 W Baltimore St , Baltimore MD 21223-1558. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Jackson, Marie C can be contacted via phone (410) 362-3000.

Contact Information

Primary practice address
2000 W Baltimore St Baltimore MD 21223-1558
Phone: (410) 362-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D41734 Maryland
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E15780 Maryland

Profile Details

NPI number 1871561845
LBN Legal business name Jackson, Marie C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Feb 5th, 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.

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