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:
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Health care specialties

SpecialtyCodeLicense #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 18 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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