Jackson, David
Jackson, David is an sole proprietor health care provider with primary practice located at 6 Parkway North Blvd , Deerfield IL 60015-2522. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Jackson, David can be contacted via phone (480) 466-3423.Contact Information
Primary practice address
6 Parkway North Blvd
Deerfield IL 60015-2522
Phone: (480) 466-3423
Fax: (541) 229-1293
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X |
Profile Details
| NPI number | 1003456708 |
|---|---|
| LBN Legal business name | Jackson, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2020 |
| Last updated | Jan 10th, 2020 - 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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