W Jackson Iliff M.D., Llc

LBN: W Jackson Iliff M.D., Llc
W Jackson Iliff M.D., Llc is an health care organization with primary practice located at 4 W Rolling Crossroads Ste 7, Catonsville MD 21228-6280. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. W Jackson Iliff M.D., Llc can be contacted via phone (410) 869-1990, or through Iliff, W Jackson via phone (410) 869-1990.

Contact Information

Primary practice address
4 W Rolling Crossroads Ste 7 Catonsville MD 21228-6280
Phone: (410) 869-1990
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Iliff, W Jackson Doctor of Medicine (MD)
Phone: (410) 869-1990

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D08485 Maryland

Profile Details

NPI number 1962739839
LBN Legal business name W Jackson Iliff M.D., Llc
DBA Doing business as
Authorized official Iliff, W Jackson Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2009
Last updated Nov 12th, 2009 - about 15 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 1962739839 NPPES
Maryland MEDICAID 964451200

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