Jackson, Lesley M

Jackson, Lesley M is an sole proprietor health care provider with primary practice located at 316 W 2Nd St , Morehead KY 40351-1550. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jackson, Lesley M can be contacted via phone (606) 784-3771.

Contact Information

Primary practice address
316 W 2Nd St Morehead KY 40351-1550
Phone: (606) 784-3771
Fax: (606) 783-6847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36869 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X TP037 Kentucky

Profile Details

NPI number 1336552892
LBN Legal business name Jackson, Lesley M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2014
Last updated Aug 30th, 2017 - about 9 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 1336552892 NPPES
Kentucky Other TP037 MEDICAL LICENSE

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