Jackson, Lydia Gail
Jackson, Lydia Gail is an sole proprietor health care provider with primary practice located at 3410 Cherry Ave Ne , Keizer OR 97303-4924. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Jackson, Lydia Gail can be contacted via phone (503) 602-8384.Contact Information
Primary practice address
3410 Cherry Ave Ne
Keizer OR 97303-4924
Phone: (503) 602-8384
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Health Educator | 174H00000X |
Profile Details
| NPI number | 1154913937 |
|---|---|
| LBN Legal business name | Jackson, Lydia Gail |
| Credentials | BS, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2021 |
| Last updated | Feb 3rd, 2021 - about 4 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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