Jackson, Malinda M

Jackson, Malinda M is an individual health care provider with primary practice located at 411 E William St , Decatur IL 62523-1140. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Jackson, Malinda M can be contacted via phone (217) 590-7433.

Contact Information

Primary practice address
411 E William St Decatur IL 62523-1140
Phone: (217) 590-7433
Fax: (217) 615-7176
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X Illinois

Profile Details

NPI number 1619648839
LBN Legal business name Jackson, Malinda M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2021
Last updated Sep 27th, 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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