Jackson, William L
Jackson, William L is an individual health care provider with primary practice located at 6151 S Yale Ave Suite 2402, Tulsa OK 74136-1907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Jackson, William L can be contacted via phone (918) 481-4600.Contact Information
Primary practice address
6151 S Yale Ave Suite 2402
Tulsa OK 74136-1907
Phone: (918) 481-4600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 10597 | Oklahoma |
Profile Details
| NPI number | 1821050840 |
|---|---|
| LBN Legal business name | Jackson, William L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Aug 22nd, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821050840 | NPPES |
| Oklahoma | MEDICAID | 100100470A |
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