Jackson, Nicholas

Jackson, Nicholas is an individual health care provider with primary practice located at 1505 30Th Ave S , Moorhead MN 56560-5149. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jackson, Nicholas can be contacted via phone (218) 287-4338.

Contact Information

Primary practice address
1505 30Th Ave S Moorhead MN 56560-5149
Phone: (218) 287-4338
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1023720802
LBN Legal business name Jackson, Nicholas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2022
Last updated Dec 23rd, 2022 - about 4 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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