Jackson, Donald William
Jackson, Donald William is an individual health care provider with primary practice located at 1909 A Mission 66 , Vicksburg MS 39180-3711. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jackson, Donald William can be contacted via phone (601) 636-8003.Contact Information
Primary practice address
1909 A Mission 66
Vicksburg MS 39180-3711
Phone: (601) 636-8003
Fax: (601) 638-9602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 184079 | Mississippi |
Profile Details
| NPI number | 1760500649 |
|---|---|
| LBN Legal business name | Jackson, Donald William |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 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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