Jackson, Charence

Jackson, Charence is an individual health care provider with primary practice located at 5805 Sepulveda Blvd , Sherman Oaks CA 91411-2546. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Jackson, Charence can be contacted via phone (818) 980-3200.

Contact Information

Primary practice address
5805 Sepulveda Blvd Sherman Oaks CA 91411-2546
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1154191393
LBN Legal business name Jackson, Charence
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2024
Last updated Jan 8th, 2024 - about 10 months 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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