Jackson, Allison M
Jackson, Allison M is an sole proprietor health care provider with primary practice located at 111 Michigan Ave Nw , Washington DC 20010-2978. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jackson, Allison M can be contacted via phone (202) 476-4100.Contact Information
Primary practice address
111 Michigan Ave Nw
Washington DC 20010-2978
Phone: (202) 476-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD22029 | District of Columbia |
Profile Details
| NPI number | 1124100334 |
|---|---|
| LBN Legal business name | Jackson, Allison M |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Oct 24th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124100334 | NPPES |
| Virginia | MEDICAID | 6720587 | |
| Virginia | MEDICAID | 690003800 | |
| Virginia | MEDICAID | 028181800 |
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