Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot |
213ES0131X | 48 | Podiatry |
| NPI # | 1306041744 |
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| LBN Legal business name | JACKSON PODIATRY, INC | ||||||||
| Authorized official | DERRICK JACKSON - (PODIATRIST) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/16/2007 | ||||||||
| Last updated | 12/28/2018 - About 7 years ago | ||||||||
| Identifiers |
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JACKSON PODIATRY, INC