Jackson, Christopher W

Jackson, Christopher W is an individual health care provider with primary practice located at 163 Van Buren Rd Suite 1, Caribou ME 04736-3567. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Jackson, Christopher W can be contacted via phone (207) 498-1618.

Contact Information

Primary practice address
163 Van Buren Rd Suite 1 Caribou ME 04736-3567
Phone: (207) 498-1618
Fax: (207) 498-1653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT93 Maine

Profile Details

NPI number 1942441126
LBN Legal business name Jackson, Christopher W
Credentials ATC, CEAS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2009
Last updated Mar 17th, 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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