Jackson, Fredrick
Jackson, Fredrick is an individual health care provider with primary practice located at 3018 Old Minden Rd Ste 1117 , Bossier City LA 71112-2497. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jackson, Fredrick can be contacted via phone (318) 746-1935.Contact Information
Primary practice address
3018 Old Minden Rd Ste 1117
Bossier City LA 71112-2497
Phone: (318) 746-1935
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1528433505 |
|---|---|
| LBN Legal business name | Jackson, Fredrick |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2015 |
| Last updated | Dec 2nd, 2015 - about 9 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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