Jackman-El, Ravanna

Jackman-El, Ravanna is an sole proprietor health care provider with primary practice located at 14 S Broadway , Baltimore MD 21231-1712. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Jackman-El, Ravanna can be contacted via phone (667) 234-0430.

Contact Information

Primary practice address
14 S Broadway Baltimore MD 21231-1712
Phone: (667) 234-0430
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X PR0584 Maryland

Profile Details

NPI number 1134830623
LBN Legal business name Jackman-El, Ravanna
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2022
Last updated Dec 6th, 2022 - about 2 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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