Jackson, Thomas Jefferson

Jackson, Thomas Jefferson is an sole proprietor health care provider with primary practice located at 9604 Stuart Ln , Clinton MD 20735-3376. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Jackson, Thomas Jefferson can be contacted via phone (240) 547-7904.

Contact Information

Primary practice address
9604 Stuart Ln Clinton MD 20735-3376
Phone: (240) 547-7904
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X District of Columbia

Profile Details

NPI number 1477314656
LBN Legal business name Jackson, Thomas Jefferson
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2024
Last updated Jan 16th, 2024 - 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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