Jackson, Stanford

Jackson, Stanford is an sole proprietor health care provider with primary practice located at 2008 Pacific Ave , Long Beach CA 90806-4610. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jackson, Stanford can be contacted via phone (562) 591-0011.

Contact Information

Primary practice address
2008 Pacific Ave Long Beach CA 90806-4610
Phone: (562) 591-0011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 123332 II California

Profile Details

NPI number 1154668671
LBN Legal business name Jackson, Stanford
Credentials CATCII
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2013
Last updated Jan 4th, 2013 - about 13 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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