Jackson, Dominique

Jackson, Dominique is an individual health care provider with primary practice located at 1738 S Tremont St , Oceanside CA 92054-5309. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Jackson, Dominique can be contacted via phone (619) 275-0822.

Contact Information

Primary practice address
1738 S Tremont St Oceanside CA 92054-5309
Phone: (619) 275-0822
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1184164949
LBN Legal business name Jackson, Dominique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2017
Last updated Sep 16th, 2017 - about 9 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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