Jackson, Charlene

Jackson, Charlene is an sole proprietor health care provider with primary practice located at 202 E Bagley Rd , Berea OH 44017-2058. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Jackson, Charlene can be contacted via phone (440) 260-8300.

Contact Information

Primary practice address
202 E Bagley Rd Berea OH 44017-2058
Phone: (440) 260-8300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Ohio
Other Service Providers / Community Health Worker 172V00000X Ohio

Profile Details

NPI number 1093321838
LBN Legal business name Jackson, Charlene
Credentials QMHS MA CMS MA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2020
Last updated Sep 17th, 2020 - about 4 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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