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Contact Information

MARCUS JACKSON
4954 E 56TH ST STE 4
INDIANAPOLIS, IN46220-5769
 Phone: 317-941-7387
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for MARCUS JACKSON · (Male)

NPI Number 1245062900
Status Active
Credentials
Entity Individual
Enumeration date 08/20/2024
Last updated 08/20/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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