Jackson, Orlan

Jackson, Orlan is an individual health care provider with primary practice located at 1312 Highway 49 N , Beulah ND 58523-6038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jackson, Orlan can be contacted via phone (701) 873-4445.

Contact Information

Primary practice address
1312 Highway 49 N Beulah ND 58523-6038
Fax: (701) 873-4199
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ND5650 North Dakota

Profile Details

NPI number 1184602666
LBN Legal business name Jackson, Orlan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Mar 4th, 2021 - about 4 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 1184602666 NPPES
North Dakota MEDICAID 13470
North Dakota Other 27705

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