Jackson, Bruce E
Jackson, Bruce E is an individual health care provider with primary practice located at 6625 Wagner Way Ste 320 , Gig Harbor WA 98335-8392. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Jackson, Bruce E can be contacted via phone (253) 858-7056.Contact Information
Primary practice address
6625 Wagner Way Ste 320
Gig Harbor WA 98335-8392
Phone: (253) 858-7056
Fax: (253) 858-8028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH00011181 | Washington |
Profile Details
| NPI number | 1598819567 |
|---|---|
| LBN Legal business name | Jackson, Bruce E |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Apr 13th, 2021 - 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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