Jackson, Stephen

Jackson, Stephen is an sole proprietor health care provider with primary practice located at 2577 Sawgrass Lake Ct , Cape Coral FL 33909-2935. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Vascular Specialist, Technologists, Technicians & Other Technical Service Providers / Sonography. Technologists, Technicians & Other Technical Service Providers / Sonography is his primary health care specialty. Jackson, Stephen can be contacted via phone (202) 277-1063.

Contact Information

Primary practice address
2577 Sawgrass Lake Ct Cape Coral FL 33909-2935
Phone: (202) 277-1063
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Vascular Specialist 246XC2903X 105942 Florida
Technologists, Technicians & Other Technical Service Providers / Sonography 246XS1301X 105942 Florida

Profile Details

NPI number 1275926503
LBN Legal business name Jackson, Stephen
Credentials RDCS, RVT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2015
Last updated Mar 11th, 2015 - about 11 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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