Jackson, Esther Pearl
Jackson, Esther Pearl is an individual health care provider with primary practice located at 41 North Allen St. - Pine Hills Elementary School , Albany NY 12203. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Jackson, Esther Pearl can be contacted via phone (518) 475-6892.Contact Information
Primary practice address
41 North Allen St. - Pine Hills Elementary School
Albany NY 12203
Phone: (518) 475-6892
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X | 058824-1 |
Profile Details
| NPI number | 1205365640 |
|---|---|
| LBN Legal business name | Jackson, Esther Pearl |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2017 |
| Last updated | Jun 8th, 2017 - about 7 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 | 1205365640 | NPPES |
| New York | MEDICAID | 058824-1 |
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