Jackson, Daniel

Jackson, Daniel is an sole proprietor health care provider with primary practice located at 750 E Adams St , Syracuse NY 13210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Jackson, Daniel can be contacted via phone (315) 464-5540.

Contact Information

Primary practice address
750 E Adams St Syracuse NY 13210
Phone: (315) 464-5540
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 300866 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD61477979 Washington
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X U3550 Texas

Profile Details

NPI number 1366975989
LBN Legal business name Jackson, Daniel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2017
Last updated Sep 27th, 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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