Jackson, Martin
Jackson, Martin is an sole proprietor health care provider with primary practice located at 3 Barnard Ln Suite 112, Bloomfield CT 06002-2452. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jackson, Martin can be contacted via phone (860) 559-5759.Contact Information
Primary practice address
3 Barnard Ln Suite 112
Bloomfield CT 06002-2452
Phone: (860) 559-5759
Fax: (860) 559-5759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 000158 | Connecticut |
Profile Details
| NPI number | 1023319985 |
|---|---|
| LBN Legal business name | Jackson, Martin |
| Credentials | MED., LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2010 |
| Last updated | Nov 9th, 2010 - about 16 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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