Jackson, Robert

Jackson, Robert is an individual health care provider with primary practice located at 6610 Se Quakervale Rd , Riverton KS 66770-4185. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Jackson, Robert can be contacted via phone (620) 848-2300.

Contact Information

Primary practice address
6610 Se Quakervale Rd Riverton KS 66770-4185
Phone: (620) 848-2300
Fax: (620) 848-2301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 335 Kansas

Profile Details

NPI number 1740313766
LBN Legal business name Jackson, Robert
Credentials LCP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Jul 8th, 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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