Jackson, Edward Charles

Jackson, Edward Charles is an individual health care provider with primary practice located at 38358 Us 36 , Warsaw OH 43844. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Jackson, Edward Charles can be contacted via phone (740) 824-3615.

Contact Information

Primary practice address
38358 Us 36 Warsaw OH 43844
Phone: (740) 824-3615
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1033714845
LBN Legal business name Jackson, Edward Charles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2020
Last updated Dec 1st, 2020 - 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 1033714845 NPPES
Ohio MEDICAID 2821343

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