Jackson, Russell C
Jackson, Russell C is an sole proprietor health care provider with primary practice located at 715 N College Ave , El Dorado AR 71730-4403. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Jackson, Russell C can be contacted via phone (870) 862-7921.Contact Information
Primary practice address
715 N College Ave
El Dorado AR 71730-4403
Phone: (870) 862-7921
Fax: (870) 864-2490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1447406871 |
|---|---|
| LBN Legal business name | Jackson, Russell C |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2008 |
| Last updated | Aug 18th, 2008 - about 17 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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