Jackson, Paul M

Jackson, Paul M is an sole proprietor health care provider with primary practice located at 1514 Jefferson Hwy , New Orleans LA 70121-2429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Jackson, Paul M can be contacted via phone (504) 842-4000.

Contact Information

Primary practice address
1514 Jefferson Hwy New Orleans LA 70121-2429
Phone: (504) 842-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X MD.025993 Louisiana

Profile Details

NPI number 1669679403
LBN Legal business name Jackson, Paul M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2007
Last updated Apr 29th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669679403 NPPES
Mississippi MEDICAID 09306510
Mississippi MEDICAID 1050032

Popular Providers