Jackson, Carol A

Jackson, Carol A is an sole proprietor health care provider with primary practice located at 361 Hospital Rd Ste 325, Newport Beach CA 92663-3522. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Jackson, Carol A can be contacted via phone (949) 574-7744.

Contact Information

Primary practice address
361 Hospital Rd Ste 325 Newport Beach CA 92663-3522
Phone: (949) 574-7744
Fax: (949) 642-3686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X G50085 California

Profile Details

NPI number 1255434825
LBN Legal business name Jackson, Carol A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2006
Last updated Jun 3rd, 2009 - about 16 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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