Jackson, Timothy D

Jackson, Timothy D is an sole proprietor health care provider with primary practice located at 4500 13Th St , Gulfport MS 39501-2515. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Jackson, Timothy D can be contacted via phone (228) 304-9436.

Contact Information

Primary practice address
4500 13Th St Gulfport MS 39501-2515
Phone: (228) 304-9436
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 14510 Mississippi

Profile Details

NPI number 1093710089
LBN Legal business name Jackson, Timothy D
Credentials MD, SA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Jun 7th, 2023 - about 3 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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