Jackson, Kenneth
Jackson, Kenneth is an sole proprietor health care provider with primary practice located at 1001 S Raisinville Rd , Monroe MI 48161-9754. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jackson, Kenneth can be contacted via phone (734) 243-7340.Contact Information
Primary practice address
1001 S Raisinville Rd
Monroe MI 48161-9754
Phone: (734) 243-7340
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1710302096 |
|---|---|
| LBN Legal business name | Jackson, Kenneth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2014 |
| Last updated | Feb 24th, 2014 - about 10 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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