Jackson, Dwanda

Jackson, Dwanda is an sole proprietor health care provider with primary practice located at 10802 Plymouth Ave , Garfield Hts OH 44125-2704. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Jackson, Dwanda can be contacted via phone (440) 657-2635.

Contact Information

Primary practice address
10802 Plymouth Ave Garfield Hts OH 44125-2704
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1447966817
LBN Legal business name Jackson, Dwanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2023
Last updated Feb 7th, 2023 - about 2 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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