Jackson, Melissa Reyes
Jackson, Melissa Reyes is an sole proprietor health care provider with primary practice located at 3839 W Camelback Rd , Phoenix AZ 85019-2512. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Jackson, Melissa Reyes can be contacted via phone (602) 764-6052.Contact Information
Primary practice address
3839 W Camelback Rd
Phoenix AZ 85019-2512
Phone: (602) 764-6052
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 101YS0200X | Arizona |
Profile Details
NPI number | 1295946093 |
---|---|
LBN Legal business name | Jackson, Melissa Reyes |
Credentials | Master of Education (MED) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 24th, 2007 |
Last updated | Jul 26th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295946093 | NPPES |
Arizona | MEDICAID | 897796 |
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