Jackson, Joshua

Jackson, Joshua is an sole proprietor health care provider with primary practice located at 3103 Dixie Hwy , Hamilton OH 45015-1653. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Jackson, Joshua can be contacted via phone (513) 892-4673.

Contact Information

Primary practice address
3103 Dixie Hwy Hamilton OH 45015-1653
Phone: (513) 892-4673
Fax: (513) 737-1107
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.180460 Ohio

Profile Details

NPI number 1225622814
LBN Legal business name Jackson, Joshua
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2021
Last updated Dec 5th, 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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