Jackson, Mark D
Jackson, Mark D is an sole proprietor health care provider with primary practice located at 1250 E Magnolia St , Fort Collins CO 80524-2702. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jackson, Mark D can be contacted via phone (970) 224-0606.Contact Information
Primary practice address
1250 E Magnolia St
Fort Collins CO 80524-2702
Phone: (970) 224-0606
Fax: (970) 493-9309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2187 | Colorado |
Profile Details
| NPI number | 1023015005 |
|---|---|
| LBN Legal business name | Jackson, Mark D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2005 |
| Last updated | May 15th, 2023 - about 2 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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