Jackson, Gay L
Jackson, Gay L is an sole proprietor health care provider with primary practice located at 444 Moross Rd , Grosse Pointe Farms MI 48236-2952. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Jackson, Gay L can be contacted via phone (313) 402-2441.Contact Information
Primary practice address
444 Moross Rd
Grosse Pointe Farms MI 48236-2952
Phone: (313) 402-2441
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 1041S0200X | 6851104013 | Michigan |
Profile Details
NPI number | 1407531411 |
---|---|
LBN Legal business name | Jackson, Gay L |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 19th, 2023 |
Last updated | Jun 19th, 2023 - about 2 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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