James Jackson, Md Llc

LBN: James Jackson, Md Llc
James Jackson, Md Llc is an health care organization with primary practice located at 3330 Nw 56Th St Ste 612 , Oklahoma City OK 73112-4470. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. James Jackson, Md Llc can be contacted via phone (405) 610-8810, or through Hill, Tawana via phone (405) 896-7901.

Contact Information

Primary practice address
3330 Nw 56Th St Ste 612 Oklahoma City OK 73112-4470
Phone: (405) 610-8810
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hill, Tawana
Phone: (405) 896-7901

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X 27258 Oklahoma

Profile Details

NPI number 1558858068
LBN Legal business name James Jackson, Md Llc
DBA Doing business as
Authorized official Hill, Tawana
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2018
Last updated Apr 19th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558858068 NPPES
Oklahoma MEDICAID 2019800000X
Oklahoma MEDICAID 202K00000X

Popular Providers