Jackson, Carol A
Jackson, Carol A is an sole proprietor health care provider with primary practice located at 361 Hospital Rd Ste 325, Newport Beach CA 92663-3522. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Jackson, Carol A can be contacted via phone (949) 574-7744.Contact Information
Primary practice address
361 Hospital Rd Ste 325
Newport Beach CA 92663-3522
Phone: (949) 574-7744
Fax: (949) 642-3686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | G50085 | California |
Profile Details
| NPI number | 1255434825 |
|---|---|
| LBN Legal business name | Jackson, Carol A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Jun 3rd, 2009 - about 17 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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