Jackson, Dvone

Jackson, Dvone is an individual health care provider with primary practice located at 800 Spruce St Pine 1 West, Philadelphia PA 19107-6130. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Jackson, Dvone can be contacted via phone (215) 829-7817.

Contact Information

Primary practice address
800 Spruce St Pine 1 West Philadelphia PA 19107-6130
Phone: (215) 829-7817
Fax: (215) 829-7129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD475136 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD475136 Pennsylvania

Profile Details

NPI number 1528459500
LBN Legal business name Jackson, Dvone
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2015
Last updated May 25th, 2023 - about 3 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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