Jackman, Robert A.
Jackman, Robert A. is an sole proprietor health care provider with primary practice located at 311 N 2Nd St Ste 304 , St Charles IL 60174-1853. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Jackman, Robert A. can be contacted via phone (630) 721-5765.Contact Information
Primary practice address
311 N 2Nd St Ste 304
St Charles IL 60174-1853
Phone: (630) 721-5765
Fax: (630) 377-0886
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | Illinois |
Profile Details
NPI number | 1801969233 |
---|---|
LBN Legal business name | Jackman, Robert A. |
Credentials | M. S. LCPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 15th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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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