Jackson, Benjamin K
Jackson, Benjamin K is an individual health care provider with primary practice located at 2671 Ne 46Th St , Seattle WA 98105-5041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jackson, Benjamin K can be contacted via phone (206) 585-8000.Contact Information
Primary practice address
2671 Ne 46Th St
Seattle WA 98105-5041
Phone: (206) 585-8000
Fax: (206) 525-8070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ML20008448 | Washington |
Profile Details
| NPI number | 1982715207 |
|---|---|
| LBN Legal business name | Jackson, Benjamin K |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Nov 26th, 2013 - about 13 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 | 1982715207 | NPPES |
| Washington | MEDICAID | 8531386 |
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