Jessica S Jackson Dpm Pllc
LBN: Jessica S Jackson Dpm Pllc
Jessica S Jackson Dpm Pllc is an health care organization with primary practice located at 15014 Bircham Rd , Louisville KY 40245-4104. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty.
Jessica S Jackson Dpm Pllc can be contacted via phone (502) 558-0194, or through Jackson, Jessica via phone (502) 558-0194.
Contact Information
Primary practice address
15014 Bircham Rd
Louisville KY 40245-4104
Phone: (502) 558-0194
Fax:
Website:
Authorized official contact:
Name: Jackson, Jessica Doctor of Podiatric Medicine (DPM)
Phone: (502) 558-0194
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 00242 | Kentucky |
Profile Details
NPI number | 1558516054 |
---|---|
LBN Legal business name | Jessica S Jackson Dpm Pllc |
DBA Doing business as | |
Authorized official | Jackson, Jessica Doctor of Podiatric Medicine (DPM) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 25th, 2008 |
Last updated | Jan 20th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558516054 | NPPES |
Kentucky | MEDICAID | 7100071060 | |
Kentucky | MEDICAID | 201083640A | |
Kentucky | Other | DO6474 |
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