Jackson, William Grover

Jackson, William Grover is an individual health care provider with primary practice located at 46 Toll Rd Unit B, Salisbury MA 01952-1435. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Jackson, William Grover can be contacted via phone (978) 462-3009.

Contact Information

Primary practice address
46 Toll Rd Unit B Salisbury MA 01952-1435
Phone: (978) 462-3009
Fax: (978) 462-0177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 57551 Massachusetts
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 57551 Massachusetts

Profile Details

NPI number 1003843590
LBN Legal business name Jackson, William Grover
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Nov 13th, 2014 - about 12 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 1003843590 NPPES
Massachusetts MEDICAID 3019152

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