Jackson, Robert E.

Jackson, Robert E. is an individual health care provider with primary practice located at 520 S Eagle Rd Suite 3112, Boise ID 83712-6241. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Jackson, Robert E. can be contacted via phone (208) 381-2222.

Contact Information

Primary practice address
520 S Eagle Rd Suite 3112 Boise ID 83712-6241
Phone: (208) 381-2222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 4301087650 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 4301087650 Michigan

Profile Details

NPI number 1184740045
LBN Legal business name Jackson, Robert E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Dec 13th, 2013 - about 13 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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