Jackson, Charles D

Jackson, Charles D is an sole proprietor health care provider with primary practice located at 4856 W.12Th Suite 1, Cleveland OH 44109-3424. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Jackson, Charles D can be contacted via phone (440) 749-3019.

Contact Information

Primary practice address
4856 W.12Th Suite 1 Cleveland OH 44109-3424
Phone: (440) 749-3019
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X RS884250 Ohio

Profile Details

NPI number 1043655681
LBN Legal business name Jackson, Charles D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2013
Last updated Nov 22nd, 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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