Jackson, Lisa A
Jackson, Lisa A is an individual health care provider with primary practice located at 1730 Minor Ave , Seattle WA 98101-1498. She recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as her primary health care specialty. Jackson, Lisa A can be contacted via phone (206) 442-5216.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | MD00027646 | Washington |
Profile Details
NPI number | 1639299290 |
---|---|
LBN Legal business name | Jackson, Lisa A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 29th, 2007 |
Last updated | Sep 30th, 2009 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639299290 | NPPES |
Washington | MEDICAID | 8342040 |
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