Richard T Jackson, DPM - Fort Wayne, IN

Richard T Jackson, DPM

Podiatrist in Fort Wayne, Indiana

NPI 1407859424

Richard T Jackson is a Podiatrist based in Fort Wayne, IN. Richard T Jackson practices in Fort Wayne, IN and has the professional credentials of DPM. The NPI Number for Richard T Jackson is 1407859424 and holds a License No. 07000729A (Indiana).

The current practice location address for Richard T Jackson is 7601 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-436-8686 and via fax at 260-486-8585.

Location: 7601 W Jefferson Blvd, Fort Wayne, IN, 46801-2526

NPI Number

1407859424

Provider Name

Richard T Jackson

Credential

DPM

Provider Entity Type

Individual

Gender

Male

Address

7601 W Jefferson Blvd, Fort Wayne, IN, 46801-2526

Phone Number

260-436-8686

Fax Number

260-486-8585

Provider Enumeration Date

05/23/2005

Last Update Date

03/08/2024

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

Address

7601 W Jefferson Blvd

City

Fort Wayne

State

Indiana

Zip

46804-4133

Phone Number

260-436-8686

Fax Number

260-486-8585

Address

7601 W Jefferson Blvd

City

Fort Wayne

State

Indiana

Zip

46804-4133

Phone Number

260-436-8686

Fax Number

260-486-8585

Type

Podiatric Medicine & Surgery Service Providers

Classification

Podiatrist

Speciality

Taxonomy

213E00000X

License No.

07000729A (Indiana)

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

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