Jackson, Erica

Jackson, Erica is an sole proprietor health care provider with primary practice located at 5569 W 95Th St , Oak Lawn IL 60453-2356. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Jackson, Erica can be contacted via phone (708) 529-0278.

Contact Information

Primary practice address
5569 W 95Th St Oak Lawn IL 60453-2356
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 150.109387 Illinois

Profile Details

NPI number 1508574039
LBN Legal business name Jackson, Erica
Credentials LSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2022
Last updated Nov 14th, 2022 - 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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