Jackson, Robert K

Jackson, Robert K is an individual health care provider with primary practice located at 1401 E Van Buren Ave , Mcalester OK 74501-4245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jackson, Robert K can be contacted via phone (918) 426-0240.

Contact Information

Primary practice address
1401 E Van Buren Ave Mcalester OK 74501-4245
Phone: (918) 426-0240
Fax: (918) 423-4051
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10090 Oklahoma

Profile Details

NPI number 1902869126
LBN Legal business name Jackson, Robert K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Apr 14th, 2008 - about 18 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 1902869126 NPPES
Oklahoma Other 731310891006 UNICARE
Oklahoma Other 1324230001 UNICARE
Oklahoma Other 74502A013 UNICARE
Oklahoma Other 0166707 UNICARE
Oklahoma Other 731310891028 UNICARE
Oklahoma Other E11363 UNICARE

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