Jackson, John

Jackson, John is an individual health care provider with primary practice located at 2025 Soquel Ave , Santa Cruz CA 95062-1323. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jackson, John can be contacted via phone (831) 458-5820.

Contact Information

Primary practice address
2025 Soquel Ave Santa Cruz CA 95062-1323
Phone: (831) 458-5820
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G45443 California

Profile Details

NPI number 1780664557
LBN Legal business name Jackson, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 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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