Jackson, Christopher H

Jackson, Christopher H is an individual health care provider with primary practice located at 6356 Nys Route 30 , Indian Lake NY 12842-2021. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Jackson, Christopher H can be contacted via phone (518) 648-5707.

Contact Information

Primary practice address
6356 Nys Route 30 Indian Lake NY 12842-2021
Phone: (518) 648-5707
Fax: (518) 648-6160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 006846 New York

Profile Details

NPI number 1063524155
LBN Legal business name Jackson, Christopher H
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Apr 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063524155 NPPES
New York MEDICAID 02346647

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