Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD T JACKSON, D.P.M.
ActiveRICHARD T JACKSON, D.P.M. is a Podiatrist healthcare provider located in FORT WAYNE, Indiana. NPI 1407859424 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · FORT WAYNE, IN
Registration Details
- NPI Number
- 1407859424
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2005 (21.202855841481 yrs)
- Last Updated
- Nov 7, 2016
- License
-
07000729A (IN)
Practice Information
- Address
-
7601 W JEFFERSON BLVDFORT WAYNE, IN, 468044133Browse IN providers · Browse ZIP 46804
- Phone
- 2604368686
- Fax
- 2604868585
- Primary Specialty
-
Podiatrist
213E00000X
Other Podiatrist Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| DR. KAREN F SLOANE | D.P.M. | 1124021100 |
| DR. MICHAEL STEVEN WORPELL | DPM | 1346247061 |
| MICHAEL C MCMANUS | DPM | 1689673766 |
| DR. GARY MICHAEL TORKEO | D.P.M. | 1508867177 |
| RICHARD M HILKER | DPM | 1487637377 |
| DR. LYNN H STAFFORD | DPM | 1134104474 |
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.