Jackson, Claire

Jackson, Claire is an individual health care provider with primary practice located at 375 Apple Tree Dr , Ionia MI 48846-7506. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Jackson, Claire can be contacted via phone (616) 527-1790.

Contact Information

Primary practice address
375 Apple Tree Dr Ionia MI 48846-7506
Phone: (616) 527-1790
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1699320804
LBN Legal business name Jackson, Claire
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2019
Last updated Aug 5th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699320804 NPPES
Michigan MEDICAID 1715928

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