DR. Sidney Boggess Jackson M.D.

  • NPI 1285603969
According to our database, the NPI number for DR. Sidney Boggess Jackson M.D. is 1285603969 and activated since 18 years ago. DR. Sidney Boggess Jackson M.D. is an individual provider who specializes in Family Medicine, and the primary practice location is 1 Medical Center Drive, Clarksburg, WV 26301. You can also contact DR. Sidney Boggess Jackson M.D. via telephone number is (304) 623-3461. Provider NPI information was last updated on 04/16/2012.

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Overview of DR. Sidney Boggess Jackson M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/16/2006
  • Last updated: 04/16/2012

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 11573
  • License State: WV

Provider Mailing Address

  • Address: 278 Ridgeway Dr
    Bridgeport, WV 26330
  • Phone: 304-842-3411
  • Fax:

Provider Practice Location

  • Address: 1 Medical Center Drive
    Louis A Johnson Va Health Care System
    Clarksburg, WV 26301
  • Phone: 304-623-3461
  • Fax: 304-626-7034

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 11573
  • License State: WV
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Sidney Boggess Jackson M.D.?
  • A: The npi number for DR. Sidney Boggess Jackson M.D. is 1285603969.
  • Q: What are DR. Sidney Boggess Jackson M.D.'s specialties?
  • A: DR. Sidney Boggess Jackson M.D.'s specialties are Family Medicine and different specialities.
  • Q: What is the medical license for DR. Sidney Boggess Jackson M.D.?
  • A: The medical license number for DR. Sidney Boggess Jackson M.D. is 11573 and issued in WV in USA.
  • Q: Where is DR. Sidney Boggess Jackson M.D. practice location?
  • A: DR. Sidney Boggess Jackson M.D. is practicing at 1 Medical Center Drive, Clarksburg, WV 26301.
  • Q: How to contact DR. Sidney Boggess Jackson M.D.?
  • A: You can contact DR. Sidney Boggess Jackson M.D. via 304-623-3461.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
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Ph.D. Medical Genetics
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Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.