Jackson, James C

Jackson, James C is an individual health care provider with primary practice located at 3719 Dauphin St Springhill Med Ctr Anesthesia Dept, Mobile AL 36608-1753. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Jackson, James C can be contacted via phone (251) 342-3000.

Contact Information

Primary practice address
3719 Dauphin St Springhill Med Ctr Anesthesia Dept Mobile AL 36608-1753
Phone: (251) 342-3000
Fax: (251) 342-3043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1020688 Alabama

Profile Details

NPI number 1558335984
LBN Legal business name Jackson, James C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jan 30th, 2009 - about 16 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 1558335984 NPPES
Alabama Other CN0216 MEDICARE TRAVELERS
Alabama Other 000022017 MEDICARE TRAVELERS
Alabama MEDICAID 000022017 MEDICARE TRAVELERS
Alabama MEDICAID 105361 MEDICARE TRAVELERS

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