Jackson, Jihad
Jackson, Jihad is an individual health care provider with primary practice located at 5427 N 91St St Apt 1 , Milwaukee WI 53225-3427. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Jackson, Jihad can be contacted via phone (262) 613-2960.Contact Information
Primary practice address
5427 N 91St St Apt 1
Milwaukee WI 53225-3427
Phone: (262) 613-2960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X |
Profile Details
| NPI number | 1891224770 |
|---|---|
| LBN Legal business name | Jackson, Jihad |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2017 |
| Last updated | Jun 5th, 2017 - about 8 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 | 1891224770 | NPPES |
| Wisconsin | MEDICAID | 81-4901700 |
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