Jackson, Stephanie L
Jackson, Stephanie L is an individual health care provider with primary practice located at 10900 N Scottsdale Rd Suite 603, Scottsdale AZ 85254-5216. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jackson, Stephanie L can be contacted via phone (480) 882-7470.Contact Information
Primary practice address
10900 N Scottsdale Rd Suite 603
Scottsdale AZ 85254-5216
Phone: (480) 882-7470
Fax: (480) 922-2472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD23663 | Oregon |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 51415 | Arizona |
Profile Details
| NPI number | 1861462509 |
|---|---|
| LBN Legal business name | Jackson, Stephanie L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jul 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861462509 | NPPES |
| Oregon | MEDICAID | 286902 | |
| Oregon | MEDICAID | 120461 |
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