Jackson, Jeremy
Jackson, Jeremy is an sole proprietor health care provider with primary practice located at 1240 Palm Coast Pkwy Sw , Palm Coast FL 32137-4700. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Jackson, Jeremy can be contacted via phone (386) 446-4210.Contact Information
Primary practice address
1240 Palm Coast Pkwy Sw
Palm Coast FL 32137-4700
Phone: (386) 446-4210
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | DO6157 | Florida |
Profile Details
| NPI number | 1518568971 |
|---|---|
| LBN Legal business name | Jackson, Jeremy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2020 |
| Last updated | Nov 4th, 2020 - 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.
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