Jackson, Richard

Jackson, Richard is an individual health care provider with primary practice located at 300 Main St , Lewiston ME 04240-7007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Jackson, Richard can be contacted via phone (207) 795-2330.

Contact Information

Primary practice address
300 Main St Lewiston ME 04240-7007
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 011045 Maine

Profile Details

NPI number 1255317293
LBN Legal business name Jackson, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jul 16th, 2007 - about 18 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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