Jackson, Mikel James

Jackson, Mikel James is an individual health care provider with primary practice located at 1832 101St Ave , Oakland CA 94603-3304. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Jackson, Mikel James can be contacted via phone (408) 799-1230.

Contact Information

Primary practice address
1832 101St Ave Oakland CA 94603-3304
Phone: (408) 799-1230
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1679994263
LBN Legal business name Jackson, Mikel James
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2013
Last updated Dec 26th, 2013 - about 12 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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