Jackson, Karen V.

Jackson, Karen V. is an individual health care provider with primary practice located at 301 Industrial Rd , San Carlos CA 94070-2603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jackson, Karen V. can be contacted via phone (650) 596-4000.

Contact Information

Primary practice address
301 Industrial Rd San Carlos CA 94070-2603
Phone: (650) 596-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A67191 California

Profile Details

NPI number 1285786087
LBN Legal business name Jackson, Karen V.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated May 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285786087 NPPES
California MEDICAID 00A671910

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