Jackson, Alexis Adrianna
Jackson, Alexis Adrianna is an sole proprietor health care provider with primary practice located at 1205 Parkman Rd Nw , Warren OH 44485-2470. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Jackson, Alexis Adrianna can be contacted via phone (330) 942-1456.Contact Information
Primary practice address
1205 Parkman Rd Nw
Warren OH 44485-2470
Phone: (330) 942-1456
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1770121378 |
|---|---|
| LBN Legal business name | Jackson, Alexis Adrianna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2019 |
| Last updated | Dec 13th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770121378 | NPPES |
| Ohio | MEDICAID | 0374711 |
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