Doctor Name: | ROSALIND J JACKSON |
NPI Number: | 1134125123 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 35071571 |
Business Practice Address: | 4000 Miamisburg Centerville Rd Ste. 200 Miamisburg, OH - 453427615 |
Business Phone Number: | 9372935200 |
Business Fax Number: | |
Mailing Address: | 2110 Leiter Rd, MIAMISBURG |
State: | OH |
Postal Code: | 453423660 |
Phone Number: | 9373844841 |
Fax Number: | 9373844845 |
NPI Enumeration Date: | 06/23/2005 |
NPI Last Update Date: | 09/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 35071571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |