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Contact Information

ROBERT W JACKSON, DO
SIGLER AVE
MEMPHIS, MO63555
 Phone: 660-465-2828
 Fax: 660-465-2820
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rheumatology

207RR0500X 11 Physician/Internal Medicine
Indicates primary specialty

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

NPI Number 1730293705
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/18/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MO License # R6C73
  • MO Medicaid 241853779
Hospital affiliation(s)
  • JEFFERSON COUNTY HEALTH CENTER - (Critical Access)
    2000 S MAIN
    FAIRFIELD, IA 52556
  • PIKE COUNTY MEMORIAL HOSPITAL - (Critical Access)
    2305 WEST GEORGIA STREET
    LOUISIANA, MO 63353
  • SCOTLAND COUNTY HOSPITAL - (Critical Access)
    450 E SIGLER AVENUE
    MEMPHIS, MO 63555
  • VAN BUREN COUNTY HOSPITAL - (Critical Access)
    304 FRANKLIN STREET
    KEOSAUQUA, IA 52565
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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