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:
Health care specialties
| Specialty | Code | License # | 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790877322 | NPPES |
| Kentucky | MEDICAID | 30610026 | |
| Kentucky | Other | 11754975 | |
| Kentucky | Other | 000000356239 |
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