Jackson, Mark

Jackson, Mark is an sole proprietor health care provider with primary practice located at 26048 Pine Tree Rd , Rhoadesville VA 22542-8549. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Jackson, Mark can be contacted via phone (540) 219-6889.

Contact Information

Primary practice address
26048 Pine Tree Rd Rhoadesville VA 22542-8549
Phone: (540) 219-6889
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1811409535
LBN Legal business name Jackson, Mark
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2017
Last updated Nov 3rd, 2017 - about 8 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.

Request for update

Popular Providers