Jackson, Walter Charles
Jackson, Walter Charles is an sole proprietor health care provider with primary practice located at 4051 Veterans Memorial Blvd Suite 200, Metairie LA 70002-5572. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Jackson, Walter Charles can be contacted via phone (504) 455-7161.Contact Information
Primary practice address
4051 Veterans Memorial Blvd Suite 200
Metairie LA 70002-5572
Phone: (504) 455-7161
Fax: (504) 455-7162
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 5927 | Louisiana |
Profile Details
| NPI number | 1255507588 |
|---|---|
| LBN Legal business name | Jackson, Walter Charles |
| Credentials | DDS, MD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2008 |
| Last updated | Jun 17th, 2009 - about 15 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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