Jackson, Michael Scott

Jackson, Michael Scott is an individual health care provider with primary practice located at 16940 Highway 14 Suite F, Mojave CA 93501-1238. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Jackson, Michael Scott can be contacted via phone (661) 824-5020.

Contact Information

Primary practice address
16940 Highway 14 Suite F Mojave CA 93501-1238
Fax: (661) 824-5026
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1962647107
LBN Legal business name Jackson, Michael Scott
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2008
Last updated Dec 2nd, 2008 - about 16 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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