Maille, Jackson P

Maille, Jackson P is an sole proprietor health care provider with primary practice located at 2800 Main St , Bridgeport CT 06606-4201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Maille, Jackson P can be contacted via phone (475) 210-5440.

Contact Information

Primary practice address
2800 Main St Bridgeport CT 06606-4201
Fax: (475) 210-5022
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036274 Connecticut

Profile Details

NPI number 1255443479
LBN Legal business name Maille, Jackson P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2006
Last updated Jan 9th, 2026 - about 9 months 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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