Jackson, Robin Elaine
Jackson, Robin Elaine is an sole proprietor health care provider with primary practice located at 25 Whitney Dr Ste 122 , Milford OH 45150-8400. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jackson, Robin Elaine can be contacted via phone (513) 941-4999.Contact Information
Primary practice address
25 Whitney Dr Ste 122
Milford OH 45150-8400
Phone: (513) 941-4999
Fax: (513) 694-0168
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCDCIII.162469 | Ohio |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CDCA.166828 | Ohio |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CDCA.162999 | Ohio |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCDCII.161636 | Ohio |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C.2405498-TRNE | Ohio |
Profile Details
NPI number | 1821582776 |
---|---|
LBN Legal business name | Jackson, Robin Elaine |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 14th, 2018 |
Last updated | Jan 22nd, 2024 - about 8 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821582776 | NPPES |
Ohio | MEDICAID | 0339385 |
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