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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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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