Jackson, Gerard
Jackson, Gerard is an individual health care provider with primary practice located at 3173 Washington Ave , Baton Rouge LA 70802-2178. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Jackson, Gerard can be contacted via phone (225) 614-8960.Contact Information
Primary practice address
3173 Washington Ave
Baton Rouge LA 70802-2178
Phone: (225) 614-8960
Fax: (225) 341-6825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X |
Profile Details
| NPI number | 1306546874 |
|---|---|
| LBN Legal business name | Jackson, Gerard |
| Credentials | OWNER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2023 |
| Last updated | Mar 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306546874 | NPPES |
| Louisiana | MEDICAID | 5399927 |
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