Jackson, William Charles

Jackson, William Charles is an individual health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2621. He recently has only one registered license in Behavioral Health & Social Service Providers / Health, which is considered as his primary health care specialty. Jackson, William Charles can be contacted via phone (857) 891-1828.

Contact Information

Primary practice address
55 Fruit St Boston MA 02114-2621
Phone: (857) 891-1828
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health 103TH0004X

Profile Details

NPI number 1487933438
LBN Legal business name Jackson, William Charles
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2011
Last updated Feb 6th, 2017 - about 7 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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