Phillip Corey Jackson, Md Pa

LBN: Phillip Corey Jackson, Md Pa
Phillip Corey Jackson, Md Pa is an health care organization with primary practice located at 1417 Gladden St , Harrison AR 72601-5121. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Phillip Corey Jackson, Md Pa can be contacted via phone (870) 741-0016, or through Jackson, Phillip Corey via phone (870) 741-0016.

Contact Information

Primary practice address
1417 Gladden St Harrison AR 72601-5121
Phone: (870) 741-0016
Fax: (870) 741-4242
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Phillip Corey Doctor of Medicine (MD)
Phone: (870) 741-0016

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E3074 Arkansas

Profile Details

NPI number 1821287830
LBN Legal business name Phillip Corey Jackson, Md Pa
DBA Doing business as
Authorized official Jackson, Phillip Corey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2007
Last updated Jun 6th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821287830 NPPES
Arkansas Other 5F478 BLUE CROSS BLUE SHIELD

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