Jackson, Nicholas
Jackson, Nicholas is an sole proprietor health care provider with primary practice located at 1000 Dupont Rd , Louisville KY 40207-4611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jackson, Nicholas can be contacted via phone (502) 899-6150.Contact Information
Primary practice address
1000 Dupont Rd
Louisville KY 40207-4611
Phone: (502) 899-6150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | R4098 | Kentucky |
Profile Details
| NPI number | 1205298387 |
|---|---|
| LBN Legal business name | Jackson, Nicholas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2016 |
| Last updated | Oct 25th, 2021 - about 5 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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