Jackson, William Charles

Jackson, William Charles is an individual health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2621. He recently has only one registered license in Behavioral Health & Social Service Providers / Health, which is considered as his primary health care specialty. Jackson, William Charles can be contacted via phone (857) 891-1828.

Contact Information

Primary practice address

55 Fruit St Boston MA 02114-2621

Phone: (857) 891-1828

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Health	103TH0004X

Profile Details

NPI number	1487933438
LBN Legal business name	Jackson, William Charles
Credentials	PSY.D
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Aug 9th, 2011
Last updated	Feb 6th, 2017 - about 9 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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