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Contact Information

JULIET JACKSON
8450 NORTHWEST BLVD
INDIANAPOLIS, IN46278-1381
 Phone: 317-802-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

163WX0800X
Indicates primary specialty

NPI Profile & details for JULIET JACKSON · (Female)

NPI # 1386315455
Status Active
Credentials
Entity Individual
Enumeration date 09/27/2021
Last updated 09/27/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 28213834A
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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