Jackson, Richard Wayne
Jackson, Richard Wayne is an individual health care provider with primary practice located at 6920 Gatwick Dr Ste 200, Indianapolis IN 46241-9504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Jackson, Richard Wayne can be contacted via phone (317) 455-1064.Contact Information
Primary practice address
6920 Gatwick Dr Ste 200
Indianapolis IN 46241-9504
Phone: (317) 455-1064
Fax: (317) 455-1204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 01028135 | Indiana |
Profile Details
| NPI number | 1245236769 |
|---|---|
| LBN Legal business name | Jackson, Richard Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Mar 10th, 2016 - about 8 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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