Jackson, Johnny
Jackson, Johnny is an sole proprietor health care provider with primary practice located at 6570 Sosna Dr , Fairfield OH 45014-2222. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Peer Specialist is his primary health care specialty. Jackson, Johnny can be contacted via phone (513) 942-4673.Contact Information
Primary practice address
6570 Sosna Dr
Fairfield OH 45014-2222
Phone: (513) 942-4673
Fax: (513) 860-1439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | APS.004453 | Ohio |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1336929884 |
|---|---|
| LBN Legal business name | Jackson, Johnny |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2023 |
| Last updated | Nov 16th, 2023 - 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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