Jackson, Sam

Jackson, Sam is an individual health care provider with primary practice located at 925 E Mcdowell Rd Floor 2, Phoenix AZ 85006-2502. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Medical Toxicology. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Jackson, Sam can be contacted via phone (602) 239-2280.

Contact Information

Primary practice address
925 E Mcdowell Rd Floor 2 Phoenix AZ 85006-2502
Phone: (602) 239-2280
Fax: (602) 239-4138
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35554 Arizona
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 77351 Arizona

Profile Details

NPI number 1083812366
LBN Legal business name Jackson, Sam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2007
Last updated Jul 8th, 2007 - about 17 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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