Jackson, Donald J.

Jackson, Donald J. is an individual health care provider with primary practice located at 185 Grafton Rd. , Townshend VT 05353. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Jackson, Donald J. can be contacted via phone (802) 365-4331.

Contact Information

Primary practice address
185 Grafton Rd. Townshend VT 05353
Phone: (802) 365-4331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 055-0030673 Vermont

Profile Details

NPI number 1407947039
LBN Legal business name Jackson, Donald J.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407947039 NPPES
Vermont MEDICAID OAP1167

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