Fraser, Jackson

Fraser, Jackson is an individual health care provider with primary practice located at 28720 Roadside Dr Suite 399, Agoura Hills CA 91301-3316. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fraser, Jackson can be contacted via phone (818) 575-9501.

Contact Information

Primary practice address
28720 Roadside Dr Suite 399 Agoura Hills CA 91301-3316
Phone: (818) 575-9501
Fax: (818) 575-9052
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA22498 California

Profile Details

NPI number 1841540721
LBN Legal business name Fraser, Jackson
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2012
Last updated Jun 11th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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