Jackson, Marcus

Jackson, Marcus is an sole proprietor health care provider with primary practice located at 320 Princess Ave , North Las Vegas NV 89030-3809. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is his primary health care specialty. Jackson, Marcus can be contacted via phone (702) 573-5812.

Contact Information

Primary practice address
320 Princess Ave North Las Vegas NV 89030-3809
Phone: (702) 573-5812
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1720361652
LBN Legal business name Jackson, Marcus
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2011
Last updated Sep 27th, 2011 - about 13 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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