Jackson, Jonathan Clayton

Jackson, Jonathan Clayton is an individual health care provider with primary practice located at 4102 Pinion Dr 10 Mdg, Usaf Academy CO 80840-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Jackson, Jonathan Clayton can be contacted via phone (719) 333-5183.

Contact Information

Primary practice address
4102 Pinion Dr 10 Mdg Usaf Academy CO 80840-2502
Phone: (719) 333-5183
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 5724988-1205 Utah

Profile Details

NPI number 1376527556
LBN Legal business name Jackson, Jonathan Clayton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Mar 29th, 2018 - about 6 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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