Cole, Alonzo Jackson
Cole, Alonzo Jackson is an individual health care provider with primary practice located at 53 Commons Ct , Pawleys Island SC 29585-6301. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Cole, Alonzo Jackson can be contacted via phone (843) 235-9745.Contact Information
Primary practice address
53 Commons Ct
Pawleys Island SC 29585-6301
Phone: (843) 235-9745
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | 2220 | North Carolina |
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-04-1487 | South Carolina |
Profile Details
NPI number | 1447412440 |
---|---|
LBN Legal business name | Cole, Alonzo Jackson |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2008 |
Last updated | Jun 15th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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