Jackson, J. Craig
Jackson, J. Craig is an individual health care provider with primary practice located at 4500 Sand Point Way Ne Seattle Children'S Hospital Fa-2, Seattle WA 98105-3900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Jackson, J. Craig can be contacted via phone (206) 987-2532.Contact Information
Primary practice address
4500 Sand Point Way Ne Seattle Children'S Hospital Fa-2
Seattle WA 98105-3900
Phone: (206) 987-2532
Fax: (206) 987-2685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | MD00018363 | Washington |
Profile Details
| NPI number | 1902996895 |
|---|---|
| LBN Legal business name | Jackson, J. Craig |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Mar 28th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902996895 | NPPES |
| Washington | MEDICAID | 8366502 | |
| Washington | Other | 2266 |
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