Jackson, Mark T
Jackson, Mark T is an individual health care provider with primary practice located at 500 Centre Park Dr , Asheville NC 28805-1262. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jackson, Mark T can be contacted via phone (828) 254-4337.Contact Information
Primary practice address
500 Centre Park Dr
Asheville NC 28805-1262
Phone: (828) 254-4337
Fax: (828) 251-9240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 200201481 | North Carolina |
Profile Details
| NPI number | 1447208871 |
|---|---|
| LBN Legal business name | Jackson, Mark T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1447208871 | NPPES |
| North Carolina | MEDICAID | 89135C7 |
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