Jackson, N Scott

Jackson, N Scott is an individual health care provider with primary practice located at 16528 Desmet Ct , Spokane Valley WA 99216-3522. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Jackson, N Scott can be contacted via phone (509) 944-8920.

Contact Information

Primary practice address
16528 Desmet Ct Spokane Valley WA 99216-3522
Phone: (509) 944-8920
Fax: (509) 227-7070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004458 Washington

Profile Details

NPI number 1700878667
LBN Legal business name Jackson, N Scott
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Jun 1st, 2021 - about 5 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 1700878667 NPPES
Washington MEDICAID 8327058

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