Wesley P Jackson
Foot and Ankle Orthopaedic Surgeon
2500 E Prospect Rd
Fort Collins
, Colorado 80525-9718
Wesley P Jackson
Foot and Ankle Orthopaedic Surgeon
2500 E Prospect Rd
Fort Collins
, Colorado 80525-9718
(970) 493-0112
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About
Features
Specialties
- Foot and Ankle Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Wesley P Jackson
- 2500 E Prospect Rd
- Fort Collins, CO
- Zip : 80525-9718
- Phone : (970) 493-0112
Second Address
- Wesley P Jackson
- 2500 E Prospect Rd
- Fort Collins, CO
- Zip : 80525-9718
- Phone : (970) 493-0112
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | DR.0044443 | CO |
National Provider Identifier
| NPI | 1194782995 |
|---|---|
| Provider Name | Wesley P Jackson |
| First Address | Fort Collins, CO 80525-9718 |
| Second Address | Fort Collins, CO 80525-9718 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2006 |
| Last Update Date | 16/12/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 122675400 | (05) | WY |
| 28656245 | (05) | CO |
| P00377217 | RR MEDICARE (01) | CO |
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.