Jackson, Steven Bruce
Jackson, Steven Bruce is an sole proprietor health care provider with primary practice located at 3508 Rice St , Saint Paul MN 55126-3170. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Jackson, Steven Bruce can be contacted via phone (651) 483-4321.Contact Information
Primary practice address
3508 Rice St
Saint Paul MN 55126-3170
Phone: (651) 483-4321
Fax: (651) 483-3440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Orthopedic | 111NX0800X | 1788 | Minnesota |
Profile Details
| NPI number | 1285722512 |
|---|---|
| LBN Legal business name | Jackson, Steven Bruce |
| Credentials | D.C, D.A.B.C.O |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Oct 15th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285722512 | NPPES |
| Minnesota | MEDICAID | 433527900 |
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