DR. HOWARD FRANKLIN JACKSON DPM NPI 1255453718

NPI Information

NPI: 1255453718
Provider Name: DR. HOWARD FRANKLIN JACKSON, DPM
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

Address:
4601 STATE ST
SUITE 310
EAST SAINT LOUIS, IL
ZIP 62205
Phone: (618) 875-7230
Get Directions

DR. Howard Franklin Jackson, DPM is a foot surgery podiatrist in East Saint Louis, IL. DR. Howard Franklin Jackson, DPM NPI is 1255453718. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4601 STATE ST
SUITE 310
EAST SAINT LOUIS, IL
ZIP 62205-359
Phone: (618) 875-7230
Fax: (618) 875-7230

The enumeration date for this NPI number is 4/4/2007 and was last updated on 7/8/2007.

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
1	213ES0131X	Podiatrist	Foot Surgery	016003650	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0060101272	OTHER	ILLINOIS	BLUE SHEILD
2	2780264	OTHER	ILLINOIS	UNITED HEALTHCARE
3	016003650	MEDICAID	ILLINOIS
4	480004788	OTHER	ILLINOIS	RAILROAD MEDICARE
5	750710	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
6	T38510	MEDICARE UPIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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