Jackson, Stephen H
Jackson, Stephen H is an individual health care provider with primary practice located at 510 Lincoln Dr , Herrin IL 62948-6334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Jackson, Stephen H can be contacted via phone (618) 997-6800.Contact Information
Primary practice address
510 Lincoln Dr
Herrin IL 62948-6334
Phone: (618) 997-6800
Fax: (618) 998-9635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 24187 | Kentucky |
Profile Details
| NPI number | 1952418089 |
|---|---|
| LBN Legal business name | Jackson, Stephen H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Oct 23rd, 2015 - about 9 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 | 1952418089 | NPPES |
| Kentucky | MEDICAID | 64241870 |
Popular Providers
-
Rolle, Garrison A
3334 Capital Medical Blvd Ste 400, Tallahassee FL 32308-8405 -
Isbell, William M
3001 Edwards Mill Rd Suite 200, Raleigh NC 27612-5243 -
Davis, Thomas West
510 Lincoln Dr Southern Orthopedic Associates Sc, Herrin IL 62948-6334 -
Brown, Treg D
510 Lincoln Dr Southern Orthopedic Associates Sc, Herrin IL 62948-6334 -
Davis, John Thomas
510 Lincoln Drive , Herrin IL 62948 -
Young, Steven D
510 Lincoln Drive Southern Orthopedic Associates Sc, Herrin IL 62948 -
Ackerman, Timothy S
820 Sir Thomas Ct , Harrisburg PA 17109-4839 -
Palmer, Jeremy Dale
510 Lincoln Drive Southern Orthopedic Associates Sc, Herrin IL 62948