Jackson, William W

Jackson, William W is an individual health care provider with primary practice located at 40740 California Oaks Rd , Murrieta CA 92562-5727. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Jackson, William W can be contacted via phone (951) 304-2200.

Contact Information

Primary practice address
40740 California Oaks Rd Murrieta CA 92562-5727
Phone: (951) 304-2200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G78919 California

Profile Details

NPI number 1811966468
LBN Legal business name Jackson, William W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Mar 11th, 2009 - about 17 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 1811966468 NPPES
California MEDICAID 00G789192

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