Carl E. Jackson MD

NPI 1831208768 - Surgery - 208600000X

NPI Details
NPI 1831208768
Gender Male
Enumeration Date 08/30/2006
Last Updated 12/15/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
36001 EUCLID AVENUE, SUITE B3
LHPG VASCULAR ACCESS SURGERY
WILLOUGHBY OH, 44094, US
Phone (440) 953-1898
Fax (440) 953-9296
Business Location
P.O. BOX 714328
COLUMBUS OH, 43271-4328, US
Phone (440) 953-1898
Fax (440) 953-9296
Toxanomy
Taxonomy Code 208600000X
License State Ohio
License Number 35057489
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According to our database, Dr. Carl E. Jackson MD NPI is 1831208768, taxonomy code is 208600000X and license number is 35057489, license state is located at Ohio. Carl E. Jackson MD physically located at 36001 Euclid Avenue, Suite B3, Willoughby OH, 44094. NPI Number Carl E. Jackson MD has the Individual type.

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1831208768 NPI number is provided on an as is basis without warranty of any kind. 1831208768 is maintained by the National Plan & Provider Enumeration System. The contents of Carl E. Jackson MD are for informational purposes only.