Jackson, David M.

Jackson, David M. is an individual health care provider with primary practice located at 9305 W Thomas Rd Ste 305, Phoenix AZ 85037-3328. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Jackson, David M. can be contacted via phone (866) 974-2673.

Contact Information

Primary practice address
9305 W Thomas Rd Ste 305 Phoenix AZ 85037-3328
Phone: (866) 974-2673
Fax: (866) 939-2673
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 49686 Arizona
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 49686 Arizona
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X A120606 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 49686 Arizona

Profile Details

NPI number 1144364696
LBN Legal business name Jackson, David M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2007
Last updated Mar 4th, 2024 - about 2 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 1144364696 NPPES
Arizona MEDICAID 958173
Arizona Other PENDING

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