Jackson, Freeman R
Jackson, Freeman R is an sole proprietor health care provider with primary practice located at 600 Green Valley Road Suite 304, Greensboro NC 27408. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Jackson, Freeman R can be contacted via phone (336) 282-4840.Contact Information
Primary practice address
600 Green Valley Road Suite 304
Greensboro NC 27408
Phone: (336) 282-4840
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2009-00104 | North Carolina |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1013131994 |
|---|---|
| LBN Legal business name | Jackson, Freeman R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Nov 21st, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013131994 | NPPES |
| North Carolina | Other | P00969101 | RAILROAD-MEDICARE |
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