Jackson, Lanesha Laray

Jackson, Lanesha Laray is an sole proprietor health care provider with primary practice located at 506 Zahn Dr Apt D , Akron OH 44313-5513. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Jackson, Lanesha Laray can be contacted via phone (330) 990-5122.

Contact Information

Primary practice address
506 Zahn Dr Apt D Akron OH 44313-5513
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 400951590709 Ohio

Profile Details

NPI number 1033627617
LBN Legal business name Jackson, Lanesha Laray
Credentials STNA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2018
Last updated Jan 17th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033627617 NPPES
Ohio MEDICAID 0238874

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