Jackson, Camille
Jackson, Camille is an sole proprietor health care provider with primary practice located at 1411 E 31St St Department Of Surgery, Oakland CA 94602-1018. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Jackson, Camille can be contacted via phone (510) 437-4965.Contact Information
Primary practice address
1411 E 31St St Department Of Surgery
Oakland CA 94602-1018
Phone: (510) 437-4965
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | A156408 | California |
Profile Details
NPI number | 1134574528 |
---|---|
LBN Legal business name | Jackson, Camille |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 4th, 2016 |
Last updated | Oct 2nd, 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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