Jackson, Leroy
Jackson, Leroy is an sole proprietor health care provider with primary practice located at 45335 Sierra Hwy , Lancaster CA 93534-1611. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jackson, Leroy can be contacted via phone (661) 949-8599.Contact Information
Primary practice address
45335 Sierra Hwy
Lancaster CA 93534-1611
Phone: (661) 949-8599
Fax: (661) 723-3179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1891900155 |
|---|---|
| LBN Legal business name | Jackson, Leroy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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