Jackson, Elizabeth Huge

Jackson, Elizabeth Huge is an individual health care provider with primary practice located at 300 Foxglove Dr , Mt Sterling KY 40353-9769. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Jackson, Elizabeth Huge can be contacted via phone (859) 498-2135.

Contact Information

Primary practice address
300 Foxglove Dr Mt Sterling KY 40353-9769
Phone: (859) 498-2135
Fax: (859) 498-7547
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0090 Kentucky

Profile Details

NPI number 1790877322
LBN Legal business name Jackson, Elizabeth Huge
Credentials LPA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Nov 7th, 2014 - about 11 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 1790877322 NPPES
Kentucky MEDICAID 30610026
Kentucky Other 11754975
Kentucky Other 000000356239

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