Jackson, Jeanine Angela

Jackson, Jeanine Angela is an sole proprietor health care provider with primary practice located at 3239 Telford Ter Sw , Atlanta GA 30331-5447. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Jackson, Jeanine Angela can be contacted via phone (404) 346-1863.

Contact Information

Primary practice address
3239 Telford Ter Sw Atlanta GA 30331-5447
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X AUD003626 Georgia

Profile Details

NPI number 1902166895
LBN Legal business name Jackson, Jeanine Angela
Credentials AU.D., CCC-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2012
Last updated Sep 28th, 2012 - about 12 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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