NPI 1427038280 · live from the CMS NPI Registry
Jeffrey I Jackerson, D.O.
Radiology, Diagnostic Radiology in Dover, DE. National Provider Identifier 1427038280, active.
NPI record
| NPI | 1427038280 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 640 S State Street, Dept Of Radiology, Dover, DE 19901 |
| Practice phone | 302-674-2202 |
| Mailing address | 10850 W Park Pl Ste 1100, Milwaukee, WI 53224 |
| Enumerated | January 18, 2006 |
| Last updated | March 1, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | C20004119 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.