Individual
WILLIAM P JACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(888) 598-7793
Mailing address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(888) 598-7793
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2159-20
WI
207P00000X
Emergency Medicine Physician
N7113
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841411733
TRICARE
TX
05
—
1841411733
—
WI
05
—
218447501
—
TX
01
—
8CN796
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
05/01/2007
Last updated
04/22/2024
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