Jackson, Ladale

Jackson, Ladale is an individual health care provider with primary practice located at 5601 W Slauson Ave Ste 130 , Culver City CA 90230-6576. He recently has only one registered license in Other Service Providers / Homeopath, which is considered as his primary health care specialty. Jackson, Ladale can be contacted via phone (310) 910-0406.

Contact Information

Primary practice address
5601 W Slauson Ave Ste 130 Culver City CA 90230-6576
Fax: (310) 928-0981
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Homeopath 175L00000X

Profile Details

NPI number 1265143507
LBN Legal business name Jackson, Ladale
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2022
Last updated Dec 7th, 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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