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NPI Profile for EDWIN J JACKSON JR in DANVILLE, IN.
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Care Medicine |
207RC0200X | 11 | Physician/Internal Medicine | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Pulmonary Disease |
207RP1001X | 11 | Physician/Internal Medicine |
| NPI Number | 1972827335 |
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| Status | Active | |
| Credentials | DO (Doctor of Osteopathic) | |
| Entity | Individual | |
| Enumeration date | 03/15/2010 | |
| Last updated | 03/11/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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EDWIN J JACKSON JR
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EDWIN J JACKSON JR, DO