Jackson, Mark

Jackson, Mark is an individual health care provider with primary practice located at 10 Standing Rock Agency Avenue , Fort Yates ND 58538. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Jackson, Mark can be contacted via phone (701) 854-3831.

Contact Information

Primary practice address
10 Standing Rock Agency Avenue Fort Yates ND 58538
Phone: (701) 854-3831
Fax: (701) 854-7411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 012211 Maine

Profile Details

NPI number 1528289881
LBN Legal business name Jackson, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jun 27th, 2008 - 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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