Jackson, Ronnie Lee
Jackson, Ronnie Lee is an sole proprietor health care provider with primary practice located at 100 Northcrest Dr , Springfield TN 37172-3927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Jackson, Ronnie Lee can be contacted via phone (615) 384-2411.Contact Information
Primary practice address
100 Northcrest Dr
Springfield TN 37172-3927
Phone: (615) 384-2411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD020868 | Tennessee |
Profile Details
| NPI number | 1174500896 |
|---|---|
| LBN Legal business name | Jackson, Ronnie Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Dec 14th, 2015 - about 10 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 | 1174500896 | NPPES |
| Tennessee | MEDICAID | 3077609 |
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