Jackson, Thomas

Jackson, Thomas is an sole proprietor health care provider with primary practice located at 205 W Main St , Barrington IL 60010-4205. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Jackson, Thomas can be contacted via phone (847) 842-6900.

Contact Information

Primary practice address
205 W Main St Barrington IL 60010-4205
Phone: (847) 842-6900
Fax: (847) 842-6966
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 021.002086 Illinois

Profile Details

NPI number 1447595814
LBN Legal business name Jackson, Thomas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2012
Last updated Dec 11th, 2012 - about 12 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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