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:
Health care specialties
| Specialty | Code | License # | 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 8 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 | 1336552892 | NPPES |
| Kentucky | Other | TP037 | MEDICAL LICENSE |
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