Jackson, Derrick

Jackson, Derrick is an individual health care provider with primary practice located at 11000 Delaware Pkwy Apt 2307 , Kansas City KS 66109-3567. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Jackson, Derrick can be contacted via phone (913) 908-0397.

Contact Information

Primary practice address
11000 Delaware Pkwy Apt 2307 Kansas City KS 66109-3567
Phone: (913) 908-0397
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X K02110954 Kansas

Profile Details

NPI number 1962119867
LBN Legal business name Jackson, Derrick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2022
Last updated Nov 1st, 2022 - about 3 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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