Jackson, Ryan Patrick

Jackson, Ryan Patrick is an individual health care provider with primary practice located at 1500 Duarte Rd , Duarte CA 91010-3012. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Jackson, Ryan Patrick can be contacted via phone (626) 256-4673.

Contact Information

Primary practice address
1500 Duarte Rd Duarte CA 91010-3012
Phone: (626) 256-4673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X A150177 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X A150177 California

Profile Details

NPI number 1699153130
LBN Legal business name Jackson, Ryan Patrick
Credentials M.D., PH.D., M.ENG.
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2015
Last updated May 7th, 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.

Request for update

Popular Providers