Lester, William Jackson

Lester, William Jackson is an individual health care provider with primary practice located at 1125 E Southern Ave Ste 300, Mesa AZ 85204-5045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Lester, William Jackson can be contacted via phone (480) 545-8119.

Contact Information

Primary practice address
1125 E Southern Ave Ste 300 Mesa AZ 85204-5045
Phone: (480) 545-8119
Fax: (480) 926-8332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25812 Arizona

Profile Details

NPI number 1942270855
LBN Legal business name Lester, William Jackson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Feb 16th, 2011 - about 13 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 1942270855 NPPES
Arizona Other Z142519 MEDICARE PTAN - EVDI
Arizona Other Z142355 MEDICARE PTAN - EVDI

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