Individual
ERIC MICHAEL JACKSON
Active
Individual
ERIC MICHAEL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
239160
MA
207T00000X
Neurological Surgery Physician
35095700
OH
207T00000X
Neurological Surgery Physician
Primary
D0076696
MD
207T00000X
Neurological Surgery Physician
MD424942
PA
Other
Enumeration date
12/18/2006
Last updated
09/26/2022
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