Jackson, Steven Michael

Jackson, Steven Michael is an individual health care provider with primary practice located at 601 Keyser Ave , Natchitoches LA 71457-6020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jackson, Steven Michael can be contacted via phone (318) 354-2555.

Contact Information

Primary practice address
601 Keyser Ave Natchitoches LA 71457-6020
Phone: (318) 354-2555
Fax: (318) 354-0101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X DO.322073 Louisiana

Profile Details

NPI number 1033379524
LBN Legal business name Jackson, Steven Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2008
Last updated Jul 15th, 2020 - about 6 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 1033379524 NPPES
Florida MEDICAID 023297600
Florida MEDICAID 000139622
Florida MEDICAID 178509003

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