Jackson, Wesley Alexander

Jackson, Wesley Alexander is an sole proprietor health care provider with primary practice located at 1361 13Th Ave S Ste 120 , Jacksonville Beach FL 32250-3260. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Jackson, Wesley Alexander can be contacted via phone (904) 241-2655.

Contact Information

Primary practice address
1361 13Th Ave S Ste 120 Jacksonville Beach FL 32250-3260
Fax: (904) 249-2425
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC006736 Pennsylvania

Profile Details

NPI number 1285085357
LBN Legal business name Jackson, Wesley Alexander
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2016
Last updated Apr 17th, 2024 - about 8 months 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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