Jackson, Qiana
Jackson, Qiana is an individual health care provider with primary practice located at 15565 Northland Dr Suite 604West , Southfield MI 48075. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Jackson, Qiana can be contacted via phone (313) 213-6723.Contact Information
Primary practice address
15565 Northland Dr Suite 604West
Southfield MI 48075
Phone: (313) 213-6723
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1750815387 |
|---|---|
| LBN Legal business name | Jackson, Qiana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2017 |
| Last updated | Apr 20th, 2017 - about 8 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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