Jackson, Kurt T

Jackson, Kurt T is an individual health care provider with primary practice located at 22 Old Short Hills Rd Ste 202 , Livingston NJ 07039-5605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jackson, Kurt T can be contacted via phone (201) 961-3975.

Contact Information

Primary practice address
22 Old Short Hills Rd Ste 202 Livingston NJ 07039-5605
Phone: (201) 961-3975
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25MA09011700 New Jersey

Profile Details

NPI number 1619161858
LBN Legal business name Jackson, Kurt T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2007
Last updated Feb 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619161858 NPPES
New Jersey MEDICAID 371351

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