Whalio Doctors

NPI 1093929184

E-Town Neurosurgery LLC

Organisation Neurological Surgery Physician Elizabethtown, KY

Practice location

Address
1700 Ring Rd, Elizabethtown, KY 42701-9497
Phone
(270) 769-5551
Fax
(270) 765-3919

Authorised official

Name
Thad R. Jackson
Title
Physician and Owner
Phone
(270) 769-5551

Registered specialties (2)

Neurological Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207T00000X
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI
1093929184
Entity type
Organization
NPI issued
9 May 2007
Record last updated
13 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.