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Dr. Edgar Basil Jackson, MD
Psychiatry Physician in Milwaukee, Wisconsin
NPI 1598833410

Edgar Basil Jackson is a Psychiatry Physician based in Milwaukee, WI and is specialized in Psychiatry. Edgar Basil Jackson practices in Milwaukee, WI and has the professional credentials of MD. The NPI Number for Edgar Basil Jackson is 1598833410 and holds a License No. AJ8930984 XJ8930984 (Wisconsin).

The current practice location address for Edgar Basil Jackson is 1225 W Mitchell St, Milwaukee, WI and can be reached out via phone at 414-383-4455 and via fax at 414-727-8730. You can also correspond with Edgar Basil Jackson through the mailing address at 1225 W MITCHELL ST, MILWAUKEE, WI - 53204-3383 (mailing address contact number: 414-383-4455).

Location: 1225 W Mitchell St, Milwaukee, WI, 53204-3383
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Provider Profile Details
NPI Number
1598833410
Provider Name
Edgar Basil Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1225 W Mitchell St, Milwaukee, WI, 53204-3383
Phone Number
414-383-4455
Fax Number
414-727-8730
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1598833410 01 WI NPI
30954700 05 WI
institution
Provider Business Practice Location Address Details
Address
1225 W Mitchell St
City
State
Zip
53204-3383
Phone Number
414-383-4455
Fax Number
414-727-8730
person
Provider Business Mailing Address Details
Address
1225 W Mitchell St
City
State
Zip
53204-3383
Phone Number
414-383-4455
Fax Number
414-727-8730
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
License No.
13939 (Wisconsin)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
License No.
AJ8930984 XJ8930984 (Wisconsin)
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
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