Jackson, Darvale Lavon

Jackson, Darvale Lavon is an individual health care provider with primary practice located at 3695 High St , Oakland CA 94619-2105. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Jackson, Darvale Lavon can be contacted via phone (510) 434-7990.

Contact Information

Primary practice address
3695 High St Oakland CA 94619-2105
Fax: (510) 434-7991
Website:

Health care specialties

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

Profile Details

NPI number 1982722419
LBN Legal business name Jackson, Darvale Lavon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Nov 9th, 2023 - about last year

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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