Individual
MR. JOSEPH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1415 W US HIGHWAY 50, O FALLON, IL 62269-1618
(618) 624-4471
(618) 624-4496
Mailing address
2919 SW WANAMAKER RD, SUITE K, TOPEKA, KS 66614-4972
(785) 228-2800
(785) 228-2803
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1581
KS
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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