Jackson, Christopher Robert

Jackson, Christopher Robert is an sole proprietor health care provider with primary practice located at 1502 Liatris Ln , North Pole AK 99705-5082. He recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as his primary health care specialty. Jackson, Christopher Robert can be contacted via phone (907) 385-5733.

Contact Information

Primary practice address
1502 Liatris Ln North Pole AK 99705-5082
Phone: (907) 385-5733
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 523381 Alaska

Profile Details

NPI number 1417502998
LBN Legal business name Jackson, Christopher Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2019
Last updated Aug 1st, 2019 - about 5 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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