Jackson, Brent L
Jackson, Brent L is an individual health care provider with primary practice located at 1031 W Sanetta St , Nampa ID 83651-5047. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Jackson, Brent L can be contacted via phone (208) 466-7443.Contact Information
Primary practice address
1031 W Sanetta St
Nampa ID 83651-5047
Phone: (208) 466-7443
Fax: (208) 466-5058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 31373 | Idaho |
Profile Details
| NPI number | 1518301597 |
|---|---|
| LBN Legal business name | Jackson, Brent L |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2013 |
| Last updated | Apr 22nd, 2013 - about 11 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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