Jackson, Nancy

Jackson, Nancy is an individual health care provider with primary practice located at 701 Jefferson Ave Suite 301, Toledo OH 43604-6955. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Jackson, Nancy can be contacted via phone (419) 321-6455.

Contact Information

Primary practice address
701 Jefferson Ave Suite 301 Toledo OH 43604-6955
Phone: (419) 321-6455
Fax: (419) 321-6452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X SO600097 Ohio

Profile Details

NPI number 1821419433
LBN Legal business name Jackson, Nancy
Credentials MSW, LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2013
Last updated Dec 27th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821419433 NPPES
Ohio MEDICAID 1750578530

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