Jackson, William
Jackson, William is an individual health care provider with primary practice located at 101 S Ravenel St Ste 230 , Florence SC 29506-2624. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Jackson, William can be contacted via phone (843) 777-7043.Contact Information
Primary practice address
101 S Ravenel St Ste 230
Florence SC 29506-2624
Phone: (843) 777-7043
Fax: (843) 777-7041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 82162 | South Carolina |
Profile Details
| NPI number | 1104237338 |
|---|---|
| LBN Legal business name | Jackson, William |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2014 |
| Last updated | Feb 3rd, 2021 - about 5 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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