Jackson, Jodi

Jackson, Jodi is an individual health care provider with primary practice located at 8791 Barnes Lake Rd Ste 202, Irwin PA 15642-3176. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jackson, Jodi can be contacted via phone (724) 864-6834.

Contact Information

Primary practice address
8791 Barnes Lake Rd Ste 202 Irwin PA 15642-3176
Phone: (724) 864-6834
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD419732 Pennsylvania

Profile Details

NPI number 1750384616
LBN Legal business name Jackson, Jodi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Mar 25th, 2021 - about 5 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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