Jackson, Tad

Jackson, Tad is an individual health care provider with primary practice located at 3125A Elua St , Lihue HI 96766-1212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Jackson, Tad can be contacted via phone (808) 245-5383.

Contact Information

Primary practice address
3125A Elua St Lihue HI 96766-1212
Phone: (808) 245-5383
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 10307 Hawaii

Profile Details

NPI number 1497722151
LBN Legal business name Jackson, Tad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jul 8th, 2007 - about 18 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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