Trevor G Jackson
Orthopaedic Surgeon
231 Granite Run Drive
Lancaster
, Pennsylvania 17601-6823
Trevor G Jackson
Orthopaedic Surgeon
231 Granite Run Drive
Lancaster
, Pennsylvania 17601-6823
(717) 560-4200
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Trevor G Jackson
- 231 Granite Run Drive
- Lancaster, PA
- Zip : 17601-6823
- Fax : (717) 560-4200
- Phone : (717) 560-4200
Second Address
- Trevor G Jackson
- 231 Granite Run Drive
- Lancaster, PA
- Zip : 17601-6823
- Fax : (717) 560-4200
- Phone : (717) 560-4200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | MD475250 | PA |
National Provider Identifier
| NPI | 1003200601 |
|---|---|
| Provider Name | Trevor G Jackson |
| First Address | Lancaster, PA 17601-6823 |
| Second Address | Lancaster, PA 17601-6823 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2015 |
| Last Update Date | 24/08/2021 |
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.