Jackson, Kristina M

Jackson, Kristina M is an individual health care provider with primary practice located at 4600 Main St Suite 201, Amherst NY 14226-4500. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Jackson, Kristina M can be contacted via phone (716) 833-4488.

Contact Information

Primary practice address
4600 Main St Suite 201 Amherst NY 14226-4500
Phone: (716) 833-4488
Fax: (716) 839-1218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 001607-0 New York

Profile Details

NPI number 1821061474
LBN Legal business name Jackson, Kristina M
Credentials AUD.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Sep 21st, 2010 - about 14 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 1821061474 NPPES
New York Other 000580000005 BC/BS-HEARING AID-OP
New York Other 000576103001 BC/BS-HEARING AID-OP
New York Other 000576103003 BC/BS-HEARING AID-OP
New York Other 00011176701 BC/BS-HEARING AID-OP
New York Other 000580000003 BC/BS-HEARING AID-OP
New York Other 9200301 BC/BS-HEARING AID-OP

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