Dr. Howard Franklin Jackson
Foot Surgery
4601 State St Suite 310
East Saint Louis
, Illinois 62205-1359
Dr. Howard Franklin Jackson
Foot Surgery
4601 State St Suite 310
East Saint Louis
, Illinois 62205-1359
(618) 875-7230
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Howard Franklin Jackson
- 4601 State St Suite 310
- East Saint Louis, IL
- Zip : 62205-1359
- Fax : (618) 875-7230
- Phone : (618) 875-7230
Second Address
- Dr. Howard Franklin Jackson
- 4601 State St Suite 310
- East Saint Louis, IL
- Zip : 62205-1359
- Fax : (618) 875-7230
- Phone : (618) 875-7230
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | 016003650 | IL |
National Provider Identifier
| NPI | 1255453718 |
|---|---|
| Provider Name | Dr. Howard Franklin Jackson |
| First Address | East Saint Louis, IL 62205-1359 |
| Second Address | East Saint Louis, IL 62205-1359 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/04/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0060101272 | BLUE SHEILD (01) | IL |
| 016003650 | (05) | IL |
| 2780264 | UNITED HEALTHCARE (01) | IL |
| 480004788 | RAILROAD MEDICARE (01) | IL |
| T38510 | (02) | IL |
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.