Jackson, Keyonna
Jackson, Keyonna is an sole proprietor health care provider with primary practice located at 6613 E Livingston Ave , Reynoldsburg OH 43068-3640. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Jackson, Keyonna can be contacted via phone (614) 962-2830.Contact Information
Primary practice address
6613 E Livingston Ave
Reynoldsburg OH 43068-3640
Phone: (614) 962-2830
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1134525736 |
|---|---|
| LBN Legal business name | Jackson, Keyonna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2014 |
| Last updated | Nov 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134525736 | NPPES |
| Ohio | MEDICAID | 0106583 |
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