Jackson, David A.
Jackson, David A. is an individual health care provider with primary practice located at Navajo Route 4 Pinon Health Center, Pinon AZ 86510. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Jackson, David A. can be contacted via phone (928) 725-9500.Contact Information
Primary practice address
Navajo Route 4 Pinon Health Center
Pinon AZ 86510
Phone: (928) 725-9500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35.099840 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35.099840 | Ohio |
Profile Details
| NPI number | 1508000480 |
|---|---|
| LBN Legal business name | Jackson, David A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2009 |
| Last updated | Jan 8th, 2014 - about 12 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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