Jackson, Carl E.

Jackson, Carl E. is an individual health care provider with primary practice located at 386 Medway Rd , Highland Heights OH 44143-3734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jackson, Carl E. can be contacted via phone (440) 953-1898.

Contact Information

Primary practice address
386 Medway Rd Highland Heights OH 44143-3734
Phone: (440) 953-1898
Fax: (440) 460-0749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35057489 Ohio

Profile Details

NPI number 1831208768
LBN Legal business name Jackson, Carl E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated May 2nd, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831208768 NPPES
Ohio MEDICAID 0881247

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