Jackson, Lee Alvin
Jackson, Lee Alvin is an sole proprietor health care provider with primary practice located at 2311 W El Segundo Blvd , Hawthorne CA 90250-3315. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Jackson, Lee Alvin can be contacted via phone (310) 970-5000.Contact Information
Primary practice address
2311 W El Segundo Blvd
Hawthorne CA 90250-3315
Phone: (310) 970-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1821174392 |
|---|---|
| LBN Legal business name | Jackson, Lee Alvin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jun 6th, 2023 - 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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