Jackson, Kenneth Jason

Jackson, Kenneth Jason is an individual health care provider with primary practice located at 18 Old Etna Rd , Lebanon NH 03766-1937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jackson, Kenneth Jason can be contacted via phone (603) 650-5000.

Contact Information

Primary practice address
18 Old Etna Rd Lebanon NH 03766-1937
Phone: (603) 650-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22456 New Hampshire

Profile Details

NPI number 1174083810
LBN Legal business name Jackson, Kenneth Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2019
Last updated Aug 19th, 2022 - about 3 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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