Jackson, Marlena Renee
Jackson, Marlena Renee is an individual health care provider with primary practice located at 26967 Carly Dr , Brownstown MI 48174-2539. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Jackson, Marlena Renee can be contacted via phone (313) 205-6617.Contact Information
Primary practice address
26967 Carly Dr
Brownstown MI 48174-2539
Phone: (313) 205-6617
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | P655585734802 | Michigan |
Profile Details
| NPI number | 1568019453 |
|---|---|
| LBN Legal business name | Jackson, Marlena Renee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2019 |
| Last updated | Aug 24th, 2019 - about 6 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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