Dr. Harold G. Jackson
Sports Medicine Doctor
6600 Bruceville Rd Department Of Orthopaedics
Sacramento
, California 95823-4671
Dr. Harold G. Jackson
Sports Medicine Doctor
6600 Bruceville Rd Department Of Orthopaedics
Sacramento
, California 95823-4671
(916) 688-2030
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Dr. Harold G. Jackson
- 6600 Bruceville Rd Department Of Orthopaedics
- Sacramento, CA
- Zip : 95823-4671
- Phone : (916) 688-2030
Second Address
- Dr. Harold G. Jackson
- 6600 Bruceville Rd Department Of Orthopaedics
- Sacramento, CA
- Zip : 95823-4671
- Phone : (916) 688-2030
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | 207X00000X | CA |
National Provider Identifier
| NPI | 1992882179 |
|---|---|
| Provider Name | Dr. Harold G. Jackson |
| First Address | Sacramento, CA 95823-4671 |
| Second Address | Sacramento, CA 95823-4671 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A463670 | (05) | CA |
| F08689 | (02) | CA |
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.