Jackson, Diane M
Jackson, Diane M is an individual health care provider with primary practice located at 11913 Ne 195Th St , Bothell WA 98011-3147. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Jackson, Diane M can be contacted via phone (425) 489-3100.Contact Information
Primary practice address
11913 Ne 195Th St
Bothell WA 98011-3147
Phone: (425) 489-3100
Fax: (425) 489-3119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PH00010323 | Washington |
Profile Details
| NPI number | 1699813014 |
|---|---|
| LBN Legal business name | Jackson, Diane M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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