Jackson, Isaac L.

Jackson, Isaac L. is an individual health care provider with primary practice located at 113 W Elwood Ave , Raeford NC 28376-2801. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jackson, Isaac L. can be contacted via phone (910) 848-1638.

Contact Information

Primary practice address
113 W Elwood Ave Raeford NC 28376-2801
Phone: (910) 848-1638
Fax: (910) 848-1639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2199-A North Carolina

Profile Details

NPI number 1093066037
LBN Legal business name Jackson, Isaac L.
Credentials LCAS-A
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2012
Last updated Oct 1st, 2012 - about 13 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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