Jackson, Dewey Thomas

Jackson, Dewey Thomas is an individual health care provider with primary practice located at 2828 Baird Rd , Fairport NY 14450-1247. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jackson, Dewey Thomas can be contacted via phone (585) 248-9670.

Contact Information

Primary practice address
2828 Baird Rd Fairport NY 14450-1247
Phone: (585) 248-9670
Fax: (585) 248-0384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 136492 New York

Profile Details

NPI number 1659330108
LBN Legal business name Jackson, Dewey Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 8th, 2007 - about 19 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 1659330108 NPPES
New York Other 100843BJ PREFERRED CARE
New York Other 10162610 PREFERRED CARE

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