Jackson, Daniel G

Jackson, Daniel G is an individual health care provider with primary practice located at 1810 Mackenzie Dr , Columbus OH 43220-2967. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Jackson, Daniel G can be contacted via phone (614) 273-2250.

Contact Information

Primary practice address
1810 Mackenzie Dr Columbus OH 43220-2967
Phone: (614) 273-2250
Fax: (614) 273-2255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 35036563 Ohio

Profile Details

NPI number 1447250246
LBN Legal business name Jackson, Daniel G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Feb 8th, 2008 - 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 1447250246 NPPES
Other 000000542269 ANTHEM
MEDICAID 0254193 ANTHEM

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