Jackson, Robert C

Jackson, Robert C is an individual health care provider with primary practice located at 9430 Park West Blvd Suite 130, Knoxville TN 37923-4200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Jackson, Robert C can be contacted via phone (865) 690-4861.

Contact Information

Primary practice address
9430 Park West Blvd Suite 130 Knoxville TN 37923-4200
Phone: (865) 690-4861
Fax: (865) 560-8525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 8261 Tennessee

Profile Details

NPI number 1861472532
LBN Legal business name Jackson, Robert C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Oct 1st, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861472532 NPPES
Tennessee MEDICAID 3163995

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