Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THOMAS MICHAEL JACKSON, DO
Active Sole ProprietorMR. THOMAS MICHAEL JACKSON, DO is a Emergency Medicine healthcare provider located in CARMEN, Idaho. NPI 1134380694 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · CARMEN, ID
Registration Details
- NPI Number
- 1134380694
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2008 (18.139657818453 yrs)
- Last Updated
- Jun 18, 2008
- License
-
021 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7 BITTERROOT ROADCARMEN, ID, 83462Browse ID providers · Browse ZIP 83462
- Phone
- 2087568047
- Primary Specialty
-
Emergency Medicine
207P00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.