Jackson, Barbara Rae

Jackson, Barbara Rae is an individual health care provider with primary practice located at 1101 Health Professions Bldg , Mt Pleasant MI 48859-0001. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Jackson, Barbara Rae can be contacted via phone (989) 774-3904.

Contact Information

Primary practice address
1101 Health Professions Bldg Mt Pleasant MI 48859-0001
Phone: (989) 774-3904
Fax: (989) 774-2405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1601000284 Michigan

Profile Details

NPI number 1942365747
LBN Legal business name Jackson, Barbara Rae
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Feb 18th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942365747 NPPES
Michigan Other 1601000284 LICENSE

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