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ROBERT ERIC JACKSON
1001 KAMOKILA BLVD KAPOLEI HI 967072014
ROBERT ERIC JACKSON is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1245219849. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 7416196035. The primary specialty is . The organization is HAWAII PSYCHOLOGICAL SERVICES, INC. The address is 1001 KAMOKILA BLVD, , KAPOLEI, HI, 967072014. The zip code is 967072014.
|Nation Provider ID||1245219849|
|PAC ID by PECOS||7416196035|
|Professional Enrollment ID||I20130611000834|
|Name||ROBERT ERIC JACKSON|
|Medical School Name||OTHER|
|All secondary specialties|
|Organization Name||HAWAII PSYCHOLOGICAL SERVICES, INC|
|Group Practice PAC ID||4880833409|
|Number of Group Practice members||7|
|Address||1001 KAMOKILA BLVD, , KAPOLEI, HI, 967072014|
|Hospital affiliation LBN|