Jackson, Scott

Jackson, Scott is an individual health care provider with primary practice located at 2434 Fourth Ave , Ketchikan AK 99901-5820. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Jackson, Scott can be contacted via phone (907) 225-7825.

Contact Information

Primary practice address
2434 Fourth Ave Ketchikan AK 99901-5820
Phone: (907) 225-7825
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1689270191
LBN Legal business name Jackson, Scott
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2020
Last updated Feb 9th, 2021 - about 4 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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