Jackson Family Practice, Inc.

LBN: Jackson Family Practice, Inc.
Jackson Family Practice, Inc. is an health care organization with primary practice located at 7072 Mears Gate Dr. Nw , North Canton OH 44720-8850. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Jackson Family Practice, Inc. can be contacted via phone (330) 966-1319, or through Anderson, Stanley R via phone (330) 966-1319.

Contact Information

Primary practice address
7072 Mears Gate Dr. Nw North Canton OH 44720-8850
Phone: (330) 966-1319
Fax: (330) 966-1321
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Stanley R Doctor of Medicine (MD)
Phone: (330) 966-1319

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35055884 Ohio

Profile Details

NPI number 1699881581
LBN Legal business name Jackson Family Practice, Inc.
DBA Doing business as
Authorized official Anderson, Stanley R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2006
Last updated Nov 21st, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699881581 NPPES
Ohio MEDICAID 0684344
Ohio MEDICAID 2206713

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