Jackson, Kimberly Suzanne
Jackson, Kimberly Suzanne is an sole proprietor health care provider with primary practice located at 4825 Ann Arbor Saline Rd , Ann Arbor MI 48103-9782. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Jackson, Kimberly Suzanne can be contacted via phone (734) 930-6990.Contact Information
Primary practice address
4825 Ann Arbor Saline Rd
Ann Arbor MI 48103-9782
Phone: (734) 930-6990
Fax: (734) 327-1050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2301005827 | Michigan |
Profile Details
| NPI number | 1972543189 |
|---|---|
| LBN Legal business name | Jackson, Kimberly Suzanne |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jan 16th, 2014 - about 11 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 | 1972543189 | NPPES |
| Michigan | Other | 950H150320 | BLUE CROSS BLUE SHIELD |
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