Dr. Danny W Jackson D.O. Pa

LBN: Dr. Danny W Jackson D.O. Pa
Dr. Danny W Jackson D.O. Pa is an health care organization with primary practice located at 29 S Fourth St , Rolling Fork MS 39159-5146. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Dr. Danny W Jackson D.O. Pa can be contacted via phone (662) 873-4361, or through Jackson, Danny via phone (662) 873-4361.

Contact Information

Primary practice address
29 S Fourth St Rolling Fork MS 39159-5146
Phone: (662) 873-4361
Fax: (662) 873-2921
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Danny
Phone: (662) 873-4361

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X Mississippi

Profile Details

NPI number 1659304301
LBN Legal business name Dr. Danny W Jackson D.O. Pa
DBA Doing business as
Authorized official Jackson, Danny
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1659304301 NPPES
Mississippi MEDICAID 00116560

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