Jackson, Evette R

Jackson, Evette R is an sole proprietor health care provider with primary practice located at 2490 Lee Blvd Ste 103 , Cleveland Hts OH 44118. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Jackson, Evette R can be contacted via phone (216) 337-5597.

Contact Information

Primary practice address
2490 Lee Blvd Ste 103 Cleveland Hts OH 44118
Phone: (216) 337-5597
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Ohio
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1316432511
LBN Legal business name Jackson, Evette R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2018
Last updated Jul 23rd, 2018 - about 6 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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