Jackson, Michael S.

Jackson, Michael S. is an sole proprietor health care provider with primary practice located at 2739 Chavez Dr , Reno NV 89502-4982. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, Technologists, Technicians & Other Technical Service Providers / Surgical Assistant. Technologists, Technicians & Other Technical Service Providers / Surgical Assistant is his primary health care specialty. Jackson, Michael S. can be contacted via phone (775) 329-3188.

Contact Information

Primary practice address
2739 Chavez Dr Reno NV 89502-4982
Phone: (775) 329-3188
Fax: (775) 828-0580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 1700 District of Columbia

Profile Details

NPI number 1518185909
LBN Legal business name Jackson, Michael S.
Credentials C.S.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Dec 9th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518185909 NPPES
Other 1700 NSAA

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