Jackson, Brian Jeffrey

Jackson, Brian Jeffrey is an individual health care provider with primary practice located at 1600 University Ave W Ste 10 , Saint Paul MN 55104-3898. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as his primary health care specialty. Jackson, Brian Jeffrey can be contacted via phone (651) 646-7246.

Contact Information

Primary practice address
1600 University Ave W Ste 10 Saint Paul MN 55104-3898
Phone: (651) 646-7246
Fax: (651) 641-0726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X

Profile Details

NPI number 1134636921
LBN Legal business name Jackson, Brian Jeffrey
Credentials CO, AT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2018
Last updated Jan 3rd, 2018 - about 7 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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