Jackson, Camille

Jackson, Camille is an sole proprietor health care provider with primary practice located at 1411 E 31St St Department Of Surgery, Oakland CA 94602-1018. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Jackson, Camille can be contacted via phone (510) 437-4965.

Contact Information

Primary practice address
1411 E 31St St Department Of Surgery Oakland CA 94602-1018
Phone: (510) 437-4965
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X A156408 California

Profile Details

NPI number 1134574528
LBN Legal business name Jackson, Camille
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2016
Last updated Oct 2nd, 2023 - about 2 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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