Jackson, Marvin Zebedee
Jackson, Marvin Zebedee is an sole proprietor health care provider with primary practice located at 7435 Madison St , Forest Park IL 60130-1542. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jackson, Marvin Zebedee can be contacted via phone (312) 998-8282.Contact Information
Primary practice address
7435 Madison St
Forest Park IL 60130-1542
Phone: (312) 998-8282
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 038-011180 | Illinois |
Profile Details
NPI number | 1891957015 |
---|---|
LBN Legal business name | Jackson, Marvin Zebedee |
Credentials | B.S.,D.C. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 29th, 2008 |
Last updated | Mar 5th, 2020 - about 5 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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