Jackson, Michael Latrelle

Jackson, Michael Latrelle is an sole proprietor health care provider with primary practice located at 1156 Bannockburn Ave , Rock Hill SC 29732-1095. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Jackson, Michael Latrelle can be contacted via phone (803) 718-5292.

Contact Information

Primary practice address
1156 Bannockburn Ave Rock Hill SC 29732-1095
Phone: (803) 718-5292
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X IHCP-2092 South Carolina

Profile Details

NPI number 1942050059
LBN Legal business name Jackson, Michael Latrelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2024
Last updated May 20th, 2024 - about last year

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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