Jackson, Matthew Dean
Jackson, Matthew Dean is an individual health care provider with primary practice located at 4210 Lincoln Rd , Hattiesburg MS 39402-3093. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jackson, Matthew Dean can be contacted via phone (601) 261-3500.Contact Information
Primary practice address
4210 Lincoln Rd
Hattiesburg MS 39402-3093
Phone: (601) 261-3500
Fax: (601) 579-5240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 29759 | Mississippi |
Profile Details
| NPI number | 1528590460 |
|---|---|
| LBN Legal business name | Jackson, Matthew Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2017 |
| Last updated | Mar 1st, 2022 - about 3 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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