Jackson, Wesley Matthew

Jackson, Wesley Matthew is an individual health care provider with primary practice located at 5801 Mountain Island Dr , Durham NC 27713-8909. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Jackson, Wesley Matthew can be contacted via phone (817) 428-2404.

Contact Information

Primary practice address
5801 Mountain Island Dr Durham NC 27713-8909
Phone: (817) 428-2404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 207903 North Carolina

Profile Details

NPI number 1225396690
LBN Legal business name Jackson, Wesley Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2012
Last updated Jan 6th, 2018 - about 6 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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