Jackson, Nicole R
Jackson, Nicole R is an sole proprietor health care provider with primary practice located at 908 Jefferson St Bldg 2Nd , Seattle WA 98104-2433. She recently has only one registered license in Allopathic & Osteopathic Physicians / Forensic Pathology, which is considered as her primary health care specialty. Jackson, Nicole R can be contacted via phone (206) 731-3505.Contact Information
Primary practice address
908 Jefferson St Bldg 2Nd
Seattle WA 98104-2433
Phone: (206) 731-3505
Fax: (206) 731-8555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Pathology | 207ZF0201X | MD2019-0291 | New Mexico |
Profile Details
| NPI number | 1457770638 |
|---|---|
| LBN Legal business name | Jackson, Nicole R |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 15th, 2014 |
| Last updated | Apr 21st, 2023 - about last year |
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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