Jackson, Daniel Forrest

Jackson, Daniel Forrest is an individual health care provider with primary practice located at 480 Honeysuckle Rd , Dothan AL 36305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Jackson, Daniel Forrest can be contacted via phone (334) 836-1212.

Contact Information

Primary practice address
480 Honeysuckle Rd Dothan AL 36305
Phone: (334) 836-1212
Fax: (334) 836-1888
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 11900 Alabama

Profile Details

NPI number 1922052794
LBN Legal business name Jackson, Daniel Forrest
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 8th, 2007 - about 18 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 1922052794 NPPES
Other 1199413 UNITED HEALTHCARE
MEDICAID 00301254A UNITED HEALTHCARE
Other P00229127 UNITED HEALTHCARE

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