Harding-Jackson, Nicholas Max

Harding-Jackson, Nicholas Max is an individual health care provider with primary practice located at 2374 E Pacifica Pl , Rancho Dominguez CA 90220-6214. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Harding-Jackson, Nicholas Max can be contacted via phone (310) 225-3244.

Contact Information

Primary practice address
2374 E Pacifica Pl Rancho Dominguez CA 90220-6214
Phone: (310) 225-3244
Fax: (310) 698-7040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD60627723 Washington
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1396011755
LBN Legal business name Harding-Jackson, Nicholas Max
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2012
Last updated Jul 21st, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396011755 NPPES
California Other A146271 MEDICAL LICENSE

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