Jackson, Laeia B

Jackson, Laeia B is an sole proprietor health care provider with primary practice located at 5757 Park Center Ct. , Toledo OH 43615. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Radiological Physics. Allopathic & Osteopathic Physicians / Radiological Physics is her primary health care specialty. Jackson, Laeia B can be contacted via phone (419) 474-4064.

Contact Information

Primary practice address
5757 Park Center Ct. Toledo OH 43615
Phone: (419) 474-4064
Fax: (419) 472-2772
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Radiological Physics 2085R0205X 4301507021 Michigan

Profile Details

NPI number 1003348673
LBN Legal business name Jackson, Laeia B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2017
Last updated Aug 8th, 2023 - about last year

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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