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Contact Information

TAD JACKSON, MD
3125A ELUA ST
LIHU?E, HI96766-1212
 Phone: 808-245-5383
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for TAD JACKSON · (Male)

NPI # 1497722151
Status Active
Credentials MD
Entity Individual
Enumeration date 03/01/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • HI License # 10307
Hospital affiliation(s)
  • WILCOX MEMORIAL HOSPITAL - (Acute Care)
    3-3420 KUHIO HIGHWAY
    LIHUE, HI 96766
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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