Jackson, Leon
Jackson, Leon is an individual health care provider with primary practice located at 3237 S 16Th St , Milwaukee WI 53215-4526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Jackson, Leon can be contacted via phone (414) 649-3739.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 18158 | Wisconsin |
Profile Details
| NPI number | 1144370073 |
|---|---|
| LBN Legal business name | Jackson, Leon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jul 9th, 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 | 1144370073 | NPPES |
| Wisconsin | MEDICAID | 30468000 |
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