Jackson, Keith

Jackson, Keith is an sole proprietor health care provider with primary practice located at 874 Studer Ave , Columbus OH 43206-1633. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Driver. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Jackson, Keith can be contacted via phone (614) 704-3100.

Contact Information

Primary practice address
874 Studer Ave Columbus OH 43206-1633
Phone: (614) 704-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Driver 172A00000X RR895494 Ohio

Profile Details

NPI number 1023720422
LBN Legal business name Jackson, Keith
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2022
Last updated Aug 15th, 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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