Brian Jeffrey Jackson, CO, AT
Brian Jeffrey Jackson, CO, AT is an Orthotist in Saint Paul, Minnesota. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
1600 University Ave W Ste 10Saint Paul, MN 55104-3898
Phone: (651) 646-7246
Fax: (651) 641-0726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthotist (primary) | Taxonomy 222Z00000X |
|---|
Record details
| NPI number | 1134636921 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CO , AT |
| Sole proprietor | No |
| NPI enumerated | January 3, 2018 |
| Last updated in NPPES | January 3, 2018 |
| Mailing address | 1258 Galtier St, Saint Paul, MN 55117-4456 |
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