National Provider Identifier Database

HORACE J JACKSON MD PC
Gastroenterology

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.


Contact Information

HORACE J JACKSON MD PC
464 MAIN STREET
WARSAW, VA22572
Phone: 804-788-0556
Fax:
Website:
Specialty Taxonomy Code
* Gastroenterology 207RG0100X

* Indicates primary specialty

NPI Profile & details for HORACE J JACKSON MD PC

NPI Number 1144466368
Legal business name
LBN
HORACE J JACKSON MD PC
Authorized official HORACE JACKSON - (PRESIDENT OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/17/2008
Last updated 12/17/2008 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • VA Medicaid: 006O49656
  • VA Other: 006954 ANTHEM

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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