Jackson, Evelyn
Jackson, Evelyn is an individual health care provider with primary practice located at 209 Miller Loop Fort Benning, Columbus GA 31905-6560. She recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as her primary health care specialty. Jackson, Evelyn can be contacted via phone (706) 545-1661.Contact Information
Primary practice address
209 Miller Loop Fort Benning
Columbus GA 31905-6560
Phone: (706) 545-1661
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | LCSW | Louisiana |
Profile Details
| NPI number | 1275625568 |
|---|---|
| LBN Legal business name | Jackson, Evelyn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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