Jackson, Kevin Michael
Jackson, Kevin Michael is an individual health care provider with primary practice located at 39-06 Kramer Pl , Fair Lawn NJ 07410-5311. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jackson, Kevin Michael can be contacted via phone (201) 773-4656.Contact Information
Primary practice address
39-06 Kramer Pl
Fair Lawn NJ 07410-5311
Phone: (201) 773-4656
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T006010 | New York |
Profile Details
| NPI number | 1588654115 |
|---|---|
| LBN Legal business name | Jackson, Kevin Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| 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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