Unteriner, Jackson George

Unteriner, Jackson George is an individual health care provider with primary practice located at 1 Audubon Plaza Dr , Louisville KY 40217-1318. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Unteriner, Jackson George can be contacted via phone (502) 447-8786.

Contact Information

Primary practice address
1 Audubon Plaza Dr Louisville KY 40217-1318
Phone: (502) 447-8786
Fax: (502) 447-8786
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 60448 Kentucky
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2020011736 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 60448 Kentucky

Profile Details

NPI number 1053874776
LBN Legal business name Unteriner, Jackson George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2019
Last updated Sep 29th, 2025 - about last year

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 1053874776 NPPES
Indiana MEDICAID 300110382
Indiana MEDICAID 7101050170

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