Jackson, Bethany Rose
Jackson, Bethany Rose is an individual health care provider with primary practice located at 2823 Fresno St , Fresno CA 93721-1324. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Jackson, Bethany Rose can be contacted via phone (559) 443-2682.Contact Information
Primary practice address
2823 Fresno St
Fresno CA 93721-1324
Phone: (559) 443-2682
Fax: (559) 443-2681
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A21130 | California |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | 20A21130 | California |
Profile Details
NPI number | 1932640265 |
---|---|
LBN Legal business name | Jackson, Bethany Rose |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 20th, 2017 |
Last updated | Dec 4th, 2023 - about last year |
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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