Jackson-Walker, Susan M.

Jackson-Walker, Susan M. is an individual health care provider with primary practice located at A.I. Dupont Hospital For Children 1600 Rockland Road, Wilmington DE 19803-3607. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Jackson-Walker, Susan M. can be contacted via phone (302) 651-4000.

Contact Information

Primary practice address
A.I. Dupont Hospital For Children 1600 Rockland Road Wilmington DE 19803-3607
Phone: (302) 651-4000
Fax: (302) 651-4945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X B10000648 Delaware
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X B10000648 Delaware

Profile Details

NPI number 1124110911
LBN Legal business name Jackson-Walker, Susan M.
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated May 16th, 2008 - about 18 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 1124110911 NPPES
Maryland MEDICAID 5119049
Maryland MEDICAID 8919704
Maryland MEDICAID 1913085

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