Jackson, Jennifer M

Jackson, Jennifer M is an individual health care provider with primary practice located at 3000 Arlington Ave Anesthesia, Toledo OH 43614-2595. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Jackson, Jennifer M can be contacted via phone (419) 383-3556.

Contact Information

Primary practice address
3000 Arlington Ave Anesthesia Toledo OH 43614-2595
Phone: (419) 383-3556
Fax: (419) 383-3550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 67000101 Ohio

Profile Details

NPI number 1427042357
LBN Legal business name Jackson, Jennifer M
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427042357 NPPES
Ohio MEDICAID 2405050

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