Jackson, James

Jackson, James is an individual health care provider with primary practice located at 960 E Lee St , Wasilla AK 99654-0502. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Jackson, James can be contacted via phone (907) 354-5591.

Contact Information

Primary practice address
960 E Lee St Wasilla AK 99654-0502
Phone: (907) 354-5591
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1932791282
LBN Legal business name Jackson, James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2021
Last updated Feb 8th, 2021 - about 4 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.

Request for update

Popular Providers