Jackson, Richard Fredrick
Jackson, Richard Fredrick is an sole proprietor health care provider with primary practice located at 1441 Secret Ravine Pkwy Suite 160, Roseville CA 95661-6044. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Jackson, Richard Fredrick can be contacted via phone (916) 787-1515.Contact Information
Primary practice address
1441 Secret Ravine Pkwy Suite 160
Roseville CA 95661-6044
Phone: (916) 787-1515
Fax: (916) 787-1516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 24465 | California |
Profile Details
| NPI number | 1124116066 |
|---|---|
| LBN Legal business name | Jackson, Richard Fredrick |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Jun 5th, 2015 - about 9 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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