Jackson, James Paul

Jackson, James Paul is an individual health care provider with primary practice located at 1845 Main Ave , Durango CO 81301-5035. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jackson, James Paul can be contacted via phone (970) 259-1789.

Contact Information

Primary practice address
1845 Main Ave Durango CO 81301-5035
Phone: (970) 259-1789
Fax: (970) 259-0810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1530 Colorado

Profile Details

NPI number 1275682403
LBN Legal business name Jackson, James Paul
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Feb 7th, 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 1275682403 NPPES
Colorado MEDICAID 18555306

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