JACKSON PHYSICIAN CORP NPI 1063712701

NPI Information

  • NPI: 1063712701
  • Provider Name: JACKSON PHYSICIAN CORP
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: JACKSON ORTHOPEDIC CLINIC
  • Address: 540 JETT DR
    JACKSON, KY
    ZIP 41339
  • Phone: (606) 666-6300

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NPI Details

JACKSON PHYSICIAN CORP is a durable medical equipment medical supplies in Jackson, KY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. JACKSON PHYSICIAN CORP NPI is 1063712701. The provider is registered as an organization entity type.
The provider Is Doing Business As Jackson Orthopedic Clinic.

The provider's business location address is:

540 JETT DR
JACKSON, KY
ZIP 41339-622
Phone: (606) 666-6300
Fax: (606) 666-6118

The provider's authorized official is Debbie Brewer .
The authorized official title is Director and has the following contact phone number (877) 892-9813.

The enumeration date for this NPI number is 10/28/2010 and was last updated on 12/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesTENNESSEEYes

What is NPI?

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This page was last updated on: 11/21/2025

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