Jackson, Wesley P

Jackson, Wesley P is an individual health care provider with primary practice located at 2500 E Prospect Rd , Fort Collins CO 80525-9718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as his primary health care specialty. Jackson, Wesley P can be contacted via phone (970) 493-0112.

Contact Information

Primary practice address
2500 E Prospect Rd Fort Collins CO 80525-9718
Phone: (970) 493-0112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X DR.0044443 Colorado

Profile Details

NPI number 1194782995
LBN Legal business name Jackson, Wesley P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Dec 16th, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194782995 NPPES
Colorado MEDICAID 28656245
Colorado Other P00377217
Colorado MEDICAID 122675400

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