Jackson, Michael

Jackson, Michael is an individual health care provider with primary practice located at 1850 Adams St Ste 112 , Mankato MN 56001-4846. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jackson, Michael can be contacted via phone (507) 387-6358.

Contact Information

Primary practice address
1850 Adams St Ste 112 Mankato MN 56001-4846
Phone: (507) 387-6358
Fax: (507) 387-4166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2460 Minnesota

Profile Details

NPI number 1215091723
LBN Legal business name Jackson, Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jul 9th, 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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