Jackson, Thomas James
Jackson, Thomas James is an individual health care provider with primary practice located at 965 Mattox Dr , Sullivan MO 63080-2365. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jackson, Thomas James can be contacted via phone (573) 860-6000.Contact Information
Primary practice address
965 Mattox Dr
Sullivan MO 63080-2365
Phone: (573) 860-6000
Fax: (573) 860-6016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2009020182 | Missouri |
Profile Details
| NPI number | 1528262698 |
|---|---|
| LBN Legal business name | Jackson, Thomas James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2007 |
| Last updated | May 13th, 2021 - about 5 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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