Jackson, Andre

Jackson, Andre is an sole proprietor health care provider with primary practice located at 7015 Spring Mdws W Ste 102 , Holland OH 43528-9299. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Jackson, Andre can be contacted via phone (419) 491-1180.

Contact Information

Primary practice address
7015 Spring Mdws W Ste 102 Holland OH 43528-9299
Phone: (419) 491-1180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1386131308
LBN Legal business name Jackson, Andre
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2018
Last updated Apr 16th, 2018 - about 6 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.

Request for update

Popular Providers