Type 2 organization · NPI 1841234671
JACKSON PHYSICIAN CORP
208D00000X · JACKSON, KY
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 208D00000X | 208D00000X | Primary |
| 207R00000X | 207R00000X | Additional |
| 207RC0000X | 207RC0000X | Additional |
| 207V00000X | 207V00000X | Additional |
| 213ES0103X | 213ES0103X | Additional |
| 261QP2000X | 261QP2000X | Additional |
| 363L00000X | 363L00000X | Additional |
| 363LF0000X | 363LF0000X | Additional |
| 367500000X | 367500000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s