Streeter, Jackson

Streeter, Jackson is an sole proprietor health care provider with primary practice located at 13424 Sw 4Th Ln , Newberry FL 32669-3050. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Streeter, Jackson can be contacted via phone (619) 813-6018.

Contact Information

Primary practice address
13424 Sw 4Th Ln Newberry FL 32669-3050
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X AZ20619 Arizona

Profile Details

NPI number 1154662658
LBN Legal business name Streeter, Jackson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2013
Last updated Mar 7th, 2013 - 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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