Jackson, Sheldon

Jackson, Sheldon is an individual health care provider with primary practice located at 1240 E Highway 193 Suite G-1, Layton UT 84040-8544. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Jackson, Sheldon can be contacted via phone (801) 771-1331.

Contact Information

Primary practice address
1240 E Highway 193 Suite G-1 Layton UT 84040-8544
Phone: (801) 771-1331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 6246293-1206 Utah

Profile Details

NPI number 1003829086
LBN Legal business name Jackson, Sheldon
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Dec 7th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003829086 NPPES
Utah Other P00424201 RAILROAD MEDICARE

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