Jackson, Eric
Jackson, Eric is an individual health care provider with primary practice located at 1320 Arnold Dr Ste 103 , Martinez CA 94553-6537. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Jackson, Eric can be contacted via phone (925) 957-7739.Contact Information
Primary practice address
1320 Arnold Dr Ste 103
Martinez CA 94553-6537
Phone: (925) 957-7739
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
NPI number | 1215152152 |
---|---|
LBN Legal business name | Jackson, Eric |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 16th, 2007 |
Last updated | Jun 16th, 2023 - 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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