David L. Jackson, M.D., Psc

LBN: David L. Jackson, M.D., Psc
David L. Jackson, M.D., Psc is an health care organization with primary practice located at 2050 Versailles Rd , Lexington KY 40504-1405. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. David L. Jackson, M.D., Psc can be contacted via phone (859) 367-7110, or through Jackson, David L. via phone (859) 367-7110.

Contact Information

Primary practice address
2050 Versailles Rd Lexington KY 40504-1405
Phone: (859) 367-7110
Fax: (859) 367-7138
Website:
Map and Directions
Authorized official contact:
Name: Jackson, David L. Doctor of Medicine (MD)
Phone: (859) 367-7110

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 24005 Kentucky

Profile Details

NPI number 1811995996
LBN Legal business name David L. Jackson, M.D., Psc
DBA Doing business as
Authorized official Jackson, David L. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2005
Last updated Feb 3rd, 2009 - about 17 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 1811995996 NPPES
Kentucky Other 2300002 UNITED HEALTHCARE PIN
Kentucky MEDICAID 65925463 UNITED HEALTHCARE PIN
Kentucky Other C66084 UNITED HEALTHCARE PIN
Kentucky Other 000000050829 UNITED HEALTHCARE PIN

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