Jackson, Oksana

Jackson, Oksana is an individual health care provider with primary practice located at 34Th & Civic Center Blvd Childrens Hospital Of Philadelphia, Philadelphia PA 19104-4306. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Jackson, Oksana can be contacted via phone (215) 590-2208.

Contact Information

Primary practice address
34Th & Civic Center Blvd Childrens Hospital Of Philadelphia Philadelphia PA 19104-4306
Phone: (215) 590-2208
Fax: (215) 590-2496
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD424308 Pennsylvania

Profile Details

NPI number 1831255793
LBN Legal business name Jackson, Oksana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Apr 11th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831255793 NPPES
Pennsylvania MEDICAID 102095848-0001

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