Jackson, Weldon Karl

Jackson, Weldon Karl is an sole proprietor health care provider with primary practice located at 28125 Bradley Rd Suite 140, Sun City CA 92586-2248. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Jackson, Weldon Karl can be contacted via phone (951) 679-8751.

Contact Information

Primary practice address
28125 Bradley Rd Suite 140 Sun City CA 92586-2248
Phone: (951) 679-8751
Fax: (951) 679-8751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU 1237 California
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA 1750 California

Profile Details

NPI number 1912198185
LBN Legal business name Jackson, Weldon Karl
Credentials MA CCC-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2007
Last updated Jul 8th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912198185 NPPES
California MEDICAID 4A 1750

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