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Richard T Jackson

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NPI Number Detailed Information

Provider Information:

Name: Richard T Jackson
Gender: M
Provider License Number If Given: 07000729A

NPI Information:

NPI: 1407859424
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 11/7/2016

Provider Business Mailing Address:

Address: PO BOX 2526
Fort Wayne, IN 46801
Phone Number: 2604368686
Fax Number: 2604368585

Provider Business Practice Location Address:

Address: 7601 W JEFFERSON BLVD
Fort Wayne, IN 46804
Phone Number: 2604368686
Fax Number: 2604868585

Provider Taxonomy:

Primary: 213E00000X
Secondary (if any):
State: IN

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About Richard T Jackson

Richard T Jackson ( RICHARD T JACKSON ) is A Podiatrist Physician in Fort Wayne, IN. The NPI Number for Richard T Jackson is 1407859424.
The current location address for Richard T Jackson is 7601 W JEFFERSON BLVD Fort Wayne, IN 46804 and the contact number is 2604368686 and fax number is 2604368585. The mailing address for Richard T Jackson is PO BOX 2526 Fort Wayne, IN 46801- 2604368686 (mailing address contact number - 2604368686).
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Provider Business Location on Map

FAQs:

What is the NPI Number for Richard T Jackson ?


Answer: The NPI Number for Richard T Jackson is 1407859424

Where is Richard T Jackson located?


Answer: Richard T Jackson is located at 7601 W JEFFERSON BLVD Fort Wayne, IN 46804.

What is the specialty for Richard T Jackson ?


Answer: The Specialty of Richard T Jackson is A Podiatrist Physician

Are there any online reviews for Richard T Jackson ?


Answer: Not yet!

Are there any other health care providers in Fort Wayne, IN?


Answer: Yes, there are given below...

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Richard T Jackson
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NPI Number: 1407859424
Address: 7601 W JEFFERSON BLVD Fort Wayne, IN 46804 , Phone: 2604368686
Brian T Laursen
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Gretchen L Crampton
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