Jackson Physician Corp

LBN: Jackson Physician Corp
Jackson Physician Corp is an health care organization with primary practice located at 424 Jett Dr , Jackson KY 41339-9621. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / General Practice, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Ambulatory Health Care Facilities / Physical Therapy, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Jackson Physician Corp can be contacted via phone (066) 936-4830, or through Fey, Laura J via phone (615) 221-3641.

Contact Information

Primary practice address
424 Jett Dr Jackson KY 41339-9621
Phone: (066) 936-4830
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fey, Laura J
Phone: (615) 221-3641

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1841234671
LBN Legal business name Jackson Physician Corp
DBA Doing business as
Authorized official Fey, Laura J
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2006
Last updated Oct 3rd, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1841234671 NPPES
Kentucky MEDICAID 65930364

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