Jackson, Bridgette

Jackson, Bridgette is an sole proprietor health care provider with primary practice located at 355 Ridge Ave , Evanston IL 60202-3328. She recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as her primary health care specialty. Jackson, Bridgette can be contacted via phone (847) 316-2440.

Contact Information

Primary practice address
355 Ridge Ave Evanston IL 60202-3328
Phone: (847) 316-2440
Fax: (847) 316-2369
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X

Profile Details

NPI number 1497291637
LBN Legal business name Jackson, Bridgette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2017
Last updated Jan 11th, 2017 - about 7 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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