Jackson, Anthony Jerome
Jackson, Anthony Jerome is an sole proprietor health care provider with primary practice located at 1826 Chelsea Rd , Elkins Park PA 19027-1056. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Jackson, Anthony Jerome can be contacted via phone (267) 625-9433.Contact Information
Primary practice address
1826 Chelsea Rd
Elkins Park PA 19027-1056
Phone: (267) 625-9433
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 101YM0800X |
Profile Details
| NPI number | 1922410448 |
|---|---|
| LBN Legal business name | Jackson, Anthony Jerome |
| Credentials | M.DIV., M.A., D.MIN. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2014 |
| Last updated | Jun 2nd, 2014 - about 10 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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