Jackson, Dayvionne

Jackson, Dayvionne is an individual health care provider with primary practice located at 36260 Lake Shore Blvd Apt 201 , Eastlake OH 44095-1446. He recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as his primary health care specialty. Jackson, Dayvionne can be contacted via phone (440) 796-4482.

Contact Information

Primary practice address
36260 Lake Shore Blvd Apt 201 Eastlake OH 44095-1446
Phone: (440) 796-4482
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X Ohio

Profile Details

NPI number 1265135354
LBN Legal business name Jackson, Dayvionne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2023
Last updated Mar 27th, 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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