Jackson, Antwain

Jackson, Antwain is an individual health care provider with primary practice located at 1711 10Th Ave Se , Decatur AL 35601-4915. He recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Day Training/Habilitation Specialist. Nursing Service Related Providers / Day Training/Habilitation Specialist is his primary health care specialty. Jackson, Antwain can be contacted via phone (256) 226-0150.

Contact Information

Primary practice address
1711 10Th Ave Se Decatur AL 35601-4915
Phone: (256) 226-0150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1063096147
LBN Legal business name Jackson, Antwain
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2021
Last updated May 5th, 2021 - about 3 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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