Jackson, Caleb
Jackson, Caleb is an individual health care provider with primary practice located at 298 Washington St , Gloucester MA 01930-4832. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Jackson, Caleb can be contacted via phone (978) 283-0296.Contact Information
Primary practice address
298 Washington St
Gloucester MA 01930-4832
Phone: (978) 283-0296
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1598270142 |
|---|---|
| LBN Legal business name | Jackson, Caleb |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2017 |
| Last updated | Oct 10th, 2022 - about 2 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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