Jackson, Mark

Jackson, Mark is an individual health care provider with primary practice located at 975 Sereno Dr , Vallejo CA 94589-2441. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Jackson, Mark can be contacted via phone (707) 651-1320.

Contact Information

Primary practice address
975 Sereno Dr Vallejo CA 94589-2441
Phone: (707) 651-1320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 8487 California

Profile Details

NPI number 1790834596
LBN Legal business name Jackson, Mark
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 18 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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