Jackson, Evan
Jackson, Evan is an individual health care provider with primary practice located at 1101 N Vandemark Rd , Sidney OH 45365-3567. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Jackson, Evan can be contacted via phone (937) 492-8080.Contact Information
Primary practice address
1101 N Vandemark Rd
Sidney OH 45365-3567
Phone: (937) 492-8080
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | C09000163 | Ohio |
Profile Details
NPI number | 1902290497 |
---|---|
LBN Legal business name | Jackson, Evan |
Credentials | PC-CR |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2015 |
Last updated | Mar 24th, 2015 - about 10 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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