Jackon, Thomas
Jackon, Thomas is an sole proprietor health care provider with primary practice located at 436 5Th Ted Stevens Way Maniilaq Health Center, Kotzebue AK 99752. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Jackon, Thomas can be contacted via phone (907) 442-7162.Contact Information
Primary practice address
436 5Th Ted Stevens Way Maniilaq Health Center
Kotzebue AK 99752
Phone: (907) 442-7162
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1104275189 |
|---|---|
| LBN Legal business name | Jackon, Thomas |
| Credentials | COMMUNITY HEALTHAIDE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2016 |
| Last updated | Jun 9th, 2016 - about 10 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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