Jackson, Damien

Jackson, Damien is an individual health care provider with primary practice located at 6161 S Yale Ave , Tulsa OK 74136-1902. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Jackson, Damien can be contacted via phone (918) 682-5501.

Contact Information

Primary practice address
6161 S Yale Ave Tulsa OK 74136-1902
Phone: (918) 682-5501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34931 Oklahoma
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Ohio

Profile Details

NPI number 1275997298
LBN Legal business name Jackson, Damien
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2016
Last updated Jun 25th, 2019 - about 7 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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