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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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