Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SCOTT ERIC JACKSON, RT(R)(CT)
Active Sole ProprietorMR. SCOTT ERIC JACKSON, RT(R)(CT) is a 2471C3401X healthcare provider located in GAITHERSBURG, Maryland. NPI 1043848526 is currently active in the NPPES registry. Verify at CMS.
2471C3401X · GAITHERSBURG, MD
Registration Details
- NPI Number
- 1043848526
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2020 (6.4065988974206 yrs)
- Last Updated
- Mar 30, 2020
- Licenses
-
R08214 (MD)R08214 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
655 WATKINS MILL RDGAITHERSBURG, MD, 208793301Browse MD providers · Browse ZIP 20879
- Phone
- 2406324418
- Primary Specialty
-
2471C3401X
2471C3401X
- Additional Specialty
- 2471C3401X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.