Jackson, Paul Edward
Jackson, Paul Edward is an individual health care provider with primary practice located at 272 Hospital Rd , Chillicothe OH 45601-9031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jackson, Paul Edward can be contacted via phone (740) 779-8575.Contact Information
Primary practice address
272 Hospital Rd
Chillicothe OH 45601-9031
Phone: (740) 779-8575
Fax: (740) 779-8579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | TEMPORARY | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35.086453 | Ohio |
Profile Details
| NPI number | 1568409852 |
|---|---|
| LBN Legal business name | Jackson, Paul Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Nov 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568409852 | NPPES |
| Ohio | MEDICAID | 2813432 |
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