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Contact Information

MATTHEW W JACKSON, MD
2121 E HARMONY RD UNIT 160
FORT COLLINS, CO80528-3413
 Phone: 970-482-3328
 Fax: 970-482-1433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MATTHEW W JACKSON · (Male)

NPI Number 1821359795
Status Active
Credentials MD
Entity Individual
Enumeration date 06/06/2012
Last updated 07/06/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CO License # DR.0070527
  • CO License # TL.0004644
Hospital affiliation(s)
  • ST VINCENT HOSPITAL - (Acute Care)
    455 ST MICHAEL'S DRIVE
    SANTA FE, NM 87505
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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