Jackson, Thomas Morton

Jackson, Thomas Morton is an individual health care provider with primary practice located at 3700 California St , San Francisco CA 94118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Jackson, Thomas Morton can be contacted via phone (415) 600-2200.

Contact Information

Primary practice address
3700 California St San Francisco CA 94118
Phone: (415) 600-2200
Fax: (415) 750-6001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X G28421 California

Profile Details

NPI number 1427017151
LBN Legal business name Jackson, Thomas Morton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Feb 12th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427017151 NPPES
California MEDICAID 00G284210

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