Deen, Jackson

Deen, Jackson is an sole proprietor health care provider with primary practice located at 7519 Hospital Dr , Gloucester VA 23061-4178. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Deen, Jackson can be contacted via phone (804) 693-8899.

Contact Information

Primary practice address
7519 Hospital Dr Gloucester VA 23061-4178
Phone: (804) 693-8899
Fax: (804) 693-8810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1154891174
LBN Legal business name Deen, Jackson
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2018
Last updated Dec 3rd, 2018 - about 8 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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