Jackson, Dean Robert

Jackson, Dean Robert is an sole proprietor health care provider with primary practice located at 200 E 25Th St , Vancouver WA 98663-3219. He recently has only one registered license in Other Service Providers / Reflexologist, which is considered as his primary health care specialty. Jackson, Dean Robert can be contacted via phone (360) 907-1109.

Contact Information

Primary practice address
200 E 25Th St Vancouver WA 98663-3219
Phone: (360) 907-1109
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Reflexologist 173C00000X MA 00013622 Washington

Profile Details

NPI number 1437431889
LBN Legal business name Jackson, Dean Robert
Credentials LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2011
Last updated Sep 12th, 2011 - about 15 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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