Jackson, Gail M
Jackson, Gail M is an individual health care provider with primary practice located at Belmont Center, 4200 Monument Road , Philadelphia PA 19131. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jackson, Gail M can be contacted via phone (215) 581-5479.Contact Information
Primary practice address
Belmont Center, 4200 Monument Road
Philadelphia PA 19131
Phone: (215) 581-5479
Fax: (215) 581-3827
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | PC001382 | Pennsylvania |
Profile Details
NPI number | 1417037185 |
---|---|
LBN Legal business name | Jackson, Gail M |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 17th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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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