Jackson, Kristin M
Jackson, Kristin M is an individual health care provider with primary practice located at 45 N Madison Ave , Greenwood IN 46142-3526. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Jackson, Kristin M can be contacted via phone (317) 887-3180.Contact Information
Primary practice address
45 N Madison Ave
Greenwood IN 46142-3526
Phone: (317) 887-3180
Fax: (317) 882-2718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 12009767 | Indiana |
Profile Details
| NPI number | 1174616825 |
|---|---|
| LBN Legal business name | Jackson, Kristin M |
| Credentials | D.D.S., M.S.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jun 16th, 2011 - about 13 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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