Jackson, Ivor
Jackson, Ivor is an individual health care provider with primary practice located at 4600 Military Trail Suite 218, Jupiter FL 33458-4813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Jackson, Ivor can be contacted via phone (561) 626-9041.Contact Information
Primary practice address
4600 Military Trail Suite 218
Jupiter FL 33458-4813
Phone: (561) 626-9041
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | ME 86546 | Florida |
Profile Details
| NPI number | 1023089265 |
|---|---|
| LBN Legal business name | Jackson, Ivor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023089265 | NPPES |
| Rhode Island | MEDICAID | 9006212 |
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