Jackson, Cary V.

Jackson, Cary V. is an individual health care provider with primary practice located at 401 E Hawaii , Nampa ID 83686. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Jackson, Cary V. can be contacted via phone (208) 302-2100.

Contact Information

Primary practice address
401 E Hawaii Nampa ID 83686
Phone: (208) 302-2100
Fax: (208) 302-2125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X M5647 Idaho
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X M-5647 Idaho

Profile Details

NPI number 1932169042
LBN Legal business name Jackson, Cary V.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Nov 10th, 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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