Jackson, Charles

Jackson, Charles is an sole proprietor health care provider with primary practice located at 4128 Andover St , New Port Richey FL 34653-6203. He recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as his primary health care specialty. Jackson, Charles can be contacted via phone (850) 665-5766.

Contact Information

Primary practice address
4128 Andover St New Port Richey FL 34653-6203
Phone: (850) 665-5766
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1326982836
LBN Legal business name Jackson, Charles
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2026
Last updated Apr 15th, 2026 - about 6 months 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.

Request for update

Popular Providers