Jackson, Jon R

Jackson, Jon R is an sole proprietor health care provider with primary practice located at 337 Fowler St , Roseburg OR 97470. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Jackson, Jon R can be contacted via phone (541) 440-3532.

Contact Information

Primary practice address
337 Fowler St Roseburg OR 97470
Phone: (541) 440-3532
Fax: (541) 440-3554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1285886051
LBN Legal business name Jackson, Jon R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2008
Last updated Aug 10th, 2015 - about 9 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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