Jackson, William Marc
Jackson, William Marc is an sole proprietor health care provider with primary practice located at 7197 Highway 278 Ne , Covington GA 30014-1533. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jackson, William Marc can be contacted via phone (770) 786-4854.Contact Information
Primary practice address
7197 Highway 278 Ne
Covington GA 30014-1533
Phone: (770) 786-4854
Fax: (770) 786-2674
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIR004915 | Georgia |
Profile Details
| NPI number | 1891895140 |
|---|---|
| LBN Legal business name | Jackson, William Marc |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1891895140 | NPPES |
| Georgia | MEDICAID | 00625798A |
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