SearchMinnesota222Z00000X

Brian Jackson, CO, AT

NPI 1134636921 · on the registry since 2018

Practice

Address
1600 University Ave W Ste 10
Saint Paul, MN 55104
Phone
(651) 646-7246
Fax
(651) 641-0726
Organisation at this address
Scott M Yarosh, Llc
Genoa Healthcare Llc
People Enhancing People
The Wayside House, Inc.
People Enhancing People
Inferred from a shared address, not stated in the registry.
Clinicians at this address
71

Registry record

Primary taxonomy
222Z00000X
222Z00000X
Sex
Male
Record last updated
2018-01-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota