1407859424 Richard T Jackson, D.P.M.

Podiatrist

Active

Basic Information

Full Name
Richard T Jackson, D.P.M.
Gender
Male
Enumeration Date
May 23, 2005
Last Update
November 7, 2016

Practice Location

Address
7601 W JEFFERSON BLVD
FORT WAYNE, IN 468044133
Phone
(260) 436-8686
Fax
(260) 486-8585

Mailing Address

Address
PO BOX 2526
FORT WAYNE, IN 468012526
Phone
(260) 436-8686
Fax
(260) 436-8585

Specialties & Taxonomies

Specialty Code Classification License State Primary
Podiatrist
213E00000X Podiatrist 07000729A IN Primary

Other Identifiers

Identifier Type State Issuer
100359040A 05 IN N/A
480026551 01 N/A RAILROAD MEDICARE
00000089403 01 N/A ANTHEM

Frequently Asked Questions

What is Richard T Jackson, D.P.M.'s NPI number?
Richard T Jackson, D.P.M.'s NPI number is 1407859424.
Which doctor has NPI number 1407859424?
The doctor with NPI number 1407859424 is Richard T Jackson, D.P.M..
What is Richard T Jackson, D.P.M.'s practice address?
Richard T Jackson, D.P.M.'s practice address is 7601 W JEFFERSON BLVD, FORT WAYNE, IN, 468044133.
Which doctor practices at 7601 W JEFFERSON BLVD, FORT WAYNE, IN, 468044133?
Richard T Jackson, D.P.M. practices at 7601 W JEFFERSON BLVD, FORT WAYNE, IN, 468044133.
What is Richard T Jackson, D.P.M.'s mailing address?
Richard T Jackson, D.P.M.'s mailing address is PO BOX 2526, FORT WAYNE, IN, 468012526.
What is Richard T Jackson, D.P.M.'s phone number?
Richard T Jackson, D.P.M.'s phone number is (260) 436-8686.
Who is (260) 436-8686?
(260) 436-8686 is the phone number for Richard T Jackson, D.P.M..
What is Richard T Jackson, D.P.M.'s specialty?
Richard T Jackson, D.P.M.'s specialty is Podiatrist.
What type of doctor is Richard T Jackson, D.P.M.?
Richard T Jackson, D.P.M. is a Podiatrist.
Is Richard T Jackson, D.P.M. a Podiatrist?
Yes, Richard T Jackson, D.P.M. is a Podiatrist.
Is Richard T Jackson, D.P.M. still practicing?
Yes, Richard T Jackson, D.P.M. is currently practicing.
Is Richard T Jackson, D.P.M. accepting new patients?
Richard T Jackson, D.P.M. may be accepting new patients. Please call their office at (260) 436-8686 to inquire about availability.
Is NPI 1407859424 still active?
Yes, NPI 1407859424 is currently active.
Where does Richard T Jackson, D.P.M. practice?
Richard T Jackson, D.P.M. practices in FORT WAYNE, IN.
Is Richard T Jackson, D.P.M. a male or female doctor?
Richard T Jackson, D.P.M. is a male doctor.