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Contact Information

CHARLES JACKSON, DPM
820 N DALMONT ST
HOBBS, NM88240-5214
 Phone: 505-393-9137
 Fax: 505-391-3977
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CHARLES JACKSON · (Male)

NPI # 1760535926
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 01/19/2007
Last updated 03/06/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 80171
  • NM License # 239
  • TX License # 1640
  • NM Medicaid 67753
  • NM Other NM005310 BCBS
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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