Jackson, Mark Alan

Jackson, Mark Alan is an individual health care provider with primary practice located at 680 Cohasset Rd , Chico CA 95926-2213. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Jackson, Mark Alan can be contacted via phone (530) 342-4395.

Contact Information

Primary practice address
680 Cohasset Rd Chico CA 95926-2213
Fax: (530) 894-2325
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA19715 California

Profile Details

NPI number 1467612325
LBN Legal business name Jackson, Mark Alan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2008
Last updated Dec 19th, 2011 - 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.

Request for update

Popular Providers