Jackson, Robert Franklin

Jackson, Robert Franklin is an individual health care provider with primary practice located at 1721 Magnavox Way , Fort Wayne IN 46804-1537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Jackson, Robert Franklin can be contacted via phone (260) 748-3650.

Contact Information

Primary practice address
1721 Magnavox Way Fort Wayne IN 46804-1537
Phone: (260) 748-3650
Fax: (260) 748-3651
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 02001273 Indiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 21371 Wisconsin
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 76572 Wisconsin
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 02001273A Indiana

Profile Details

NPI number 1982654828
LBN Legal business name Jackson, Robert Franklin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jan 6th, 2022 - about 3 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 1982654828 NPPES
Indiana Other 0426440001 DME
Indiana MEDICAID 100352280 DME
Indiana Other 000000082970 DME
Indiana Other 02001273 DME

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