Jackson, Charles Edward

Jackson, Charles Edward is an individual health care provider with primary practice located at 1407 Healing Water Lane , N.Las Vegas NV 89031. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Jackson, Charles Edward can be contacted via phone (702) 485-0883.

Contact Information

Primary practice address
1407 Healing Water Lane N.Las Vegas NV 89031
Phone: (702) 485-0883
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1457669848
LBN Legal business name Jackson, Charles Edward
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2010
Last updated Sep 20th, 2010 - about 14 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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