Jackson, David Kenneth
Jackson, David Kenneth is an sole proprietor health care provider with primary practice located at 4200 Elderon Ave , Baltimore MD 21215-4802. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Jackson, David Kenneth can be contacted via phone (410) 664-4508.Contact Information
Primary practice address
4200 Elderon Ave
Baltimore MD 21215-4802
Phone: (410) 664-4508
Fax: (410) 664-0605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 072195 | Maryland |
Profile Details
| NPI number | 1851566467 |
|---|---|
| LBN Legal business name | Jackson, David Kenneth |
| Credentials | ABOC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2008 |
| Last updated | Apr 24th, 2008 - 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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