Jackson-Poordawood, Shirley
Jackson-Poordawood, Shirley is an sole proprietor health care provider with primary practice located at 4628 San Fernando Rd , Glendale CA 91204-1822. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jackson-Poordawood, Shirley can be contacted via phone (818) 240-8843.Contact Information
Primary practice address
4628 San Fernando Rd
Glendale CA 91204-1822
Phone: (818) 240-8843
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1891900734 |
|---|---|
| LBN Legal business name | Jackson-Poordawood, Shirley |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2007 |
| Last updated | May 21st, 2010 - about 14 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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