Jackson, Harold William

Jackson, Harold William is an individual health care provider with primary practice located at 4646 Brockton Ave Suite 202, Riverside CA 92506-0102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jackson, Harold William can be contacted via phone (951) 774-2942.

Contact Information

Primary practice address
4646 Brockton Ave Suite 202 Riverside CA 92506-0102
Phone: (951) 774-2942
Fax: (951) 774-2945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A3741 California

Profile Details

NPI number 1235126475
LBN Legal business name Jackson, Harold William
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Oct 23rd, 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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