Jackson, Sidney Boggess

Jackson, Sidney Boggess is an individual health care provider with primary practice located at 1 Medical Center Drive Louis A Johnson Va Health Care System, Clarksburg WV 26301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jackson, Sidney Boggess can be contacted via phone (304) 623-3461.

Contact Information

Primary practice address
1 Medical Center Drive Louis A Johnson Va Health Care System Clarksburg WV 26301
Phone: (304) 623-3461
Fax: (304) 626-7034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11573 West Virginia

Profile Details

NPI number 1285603969
LBN Legal business name Jackson, Sidney Boggess
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Apr 16th, 2012 - about 14 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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