Dba Jackson Urology

LBN: Jackson Physician Corp
Dba Jackson Urology is an health care organization with primary practice located at 1550 Highway 15 S Ste 27 , Jackson KY 41339-8604. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as the primary health care specialty. Jackson Physician Corp can be contacted via phone (606) 693-0116, or through Campbell, Loretta L via phone (606) 693-0531.

Contact Information

Primary practice address
1550 Highway 15 S Ste 27 Jackson KY 41339-8604
Phone: (606) 693-0116
Fax: (606) 693-0118
Website:
Map and Directions
Authorized official contact:
Name: Campbell, Loretta L
Phone: (606) 693-0531

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 25492 Kentucky

Profile Details

NPI number 1023219425
LBN Legal business name Jackson Physician Corp
DBA Doing business as Dba Jackson Urology
Authorized official Campbell, Loretta L
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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