Jackson, James Edward

Jackson, James Edward is an sole proprietor health care provider with primary practice located at 212 E Main St , Morehead KY 40351-1620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jackson, James Edward can be contacted via phone (606) 784-8518.

Contact Information

Primary practice address
212 E Main St Morehead KY 40351-1620
Phone: (606) 784-8518
Fax: (606) 784-8899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 14467 Kentucky

Profile Details

NPI number 1033279864
LBN Legal business name Jackson, James Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Jul 1st, 2011 - about 15 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 1033279864 NPPES
Kentucky MEDICAID 64144678

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