Jackson, Jarvis Paul

Jackson, Jarvis Paul is an sole proprietor health care provider with primary practice located at 15615 193Rd St E , Hastings MN 55033-9263. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jackson, Jarvis Paul can be contacted via phone (651) 437-2675.

Contact Information

Primary practice address
15615 193Rd St E Hastings MN 55033-9263
Phone: (651) 437-2675
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 1142051 Minnesota

Profile Details

NPI number 1346353760
LBN Legal business name Jackson, Jarvis Paul
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Jul 8th, 2007 - about 17 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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