Jackson, Claudine Jacqueline

Jackson, Claudine Jacqueline is an sole proprietor health care provider with primary practice located at 4920 Grand Ave , Duluth MN 55807-2604. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Jackson, Claudine Jacqueline can be contacted via phone (218) 522-4412.

Contact Information

Primary practice address
4920 Grand Ave Duluth MN 55807-2604
Phone: (218) 522-4412
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TPOP64 Florida
Eye and Vision Services Providers / Optometrist 152W00000X 3861-35 Wisconsin
Eye and Vision Services Providers / Optometrist 152W00000X 3690 Minnesota
Eye and Vision Services Providers / Optometrist 152W00000X 009081 New York
Eye and Vision Services Providers / Optometrist 152W00000X OET008991 Pennsylvania

Profile Details

NPI number 1659388114
LBN Legal business name Jackson, Claudine Jacqueline
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Mar 6th, 2023 - about 3 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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