Jackson, Jeremiah Rashad

Jackson, Jeremiah Rashad is an sole proprietor health care provider with primary practice located at 14253 W Aster Dr , Surprise AZ 85379-5505. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Jackson, Jeremiah Rashad can be contacted via phone (205) 420-8155.

Contact Information

Primary practice address
14253 W Aster Dr Surprise AZ 85379-5505
Phone: (205) 420-8155
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1588315980
LBN Legal business name Jackson, Jeremiah Rashad
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2022
Last updated Jan 17th, 2022 - 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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