Dr. Daniel G Jackson
Otolaryngology/Facial Plastic Surgery
1810 Mackenzie Dr
Columbus
, Ohio 43220-2967
Dr. Daniel G Jackson
Otolaryngology/Facial Plastic Surgery
1810 Mackenzie Dr
Columbus
, Ohio 43220-2967
(614) 538-2418
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Daniel G Jackson
- 974 Bethel Rd Suite A
- Columbus, OH
- Zip : 43214-2467
- Fax : (614) 538-2418
- Phone : (614) 538-2424
Second Address
- Dr. Daniel G Jackson
- 1810 Mackenzie Dr
- Columbus, OH
- Zip : 43220-2967
- Fax : (614) 273-2255
- Phone : (614) 273-2250
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 35036563 | OH |
National Provider Identifier
| NPI | 1447250246 |
|---|---|
| Provider Name | Dr. Daniel G Jackson |
| First Address | Columbus, OH 43214-2467 |
| Second Address | Columbus, OH 43220-2967 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/07/2005 |
| Last Update Date | 08/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000542269 | ANTHEM (01) | |
| 0254193 | (05) | OH |
| F12517 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.