Jackson, Matthew
Jackson, Matthew is an sole proprietor health care provider with primary practice located at 3121 Johnston St Apt 142 , Lafayette LA 70503-3760. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Jackson, Matthew can be contacted via phone (337) 201-2365.Contact Information
Primary practice address
3121 Johnston St Apt 142
Lafayette LA 70503-3760
Phone: (337) 201-2365
Fax: (337) 419-0513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | 010460855 | Louisiana |
Profile Details
| NPI number | 1932558210 |
|---|---|
| LBN Legal business name | Jackson, Matthew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2016 |
| Last updated | Jun 8th, 2016 - about 9 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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