Jackson, Norward Earl
Jackson, Norward Earl is an individual health care provider with primary practice located at 200 Claude Bundrick Rd Kiva, Blythewood SC 29016-9420. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Jackson, Norward Earl can be contacted via phone (803) 754-5478.Contact Information
Primary practice address
200 Claude Bundrick Rd Kiva
Blythewood SC 29016-9420
Phone: (803) 754-5478
Fax: (803) 754-9644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | South Carolina |
Profile Details
| NPI number | 1871612002 |
|---|---|
| LBN Legal business name | Jackson, Norward Earl |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Jul 8th, 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.
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