Jackson, Victor
Jackson, Victor is an individual health care provider with primary practice located at 1115 Weber St , Franklin LA 70538-4124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jackson, Victor can be contacted via phone (337) 828-2550.Contact Information
Primary practice address
1115 Weber St
Franklin LA 70538-4124
Phone: (337) 828-2550
Fax: (337) 355-2333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 13985 | Louisiana |
Profile Details
| NPI number | 1114968351 |
|---|---|
| LBN Legal business name | Jackson, Victor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Mar 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114968351 | NPPES |
| Louisiana | MEDICAID | 1172499 |
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