Jackson, Shanquan

Jackson, Shanquan is an sole proprietor health care provider with primary practice located at 9780 E Indigo St Suite 302, Palmetto Bay FL 33157-5609. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jackson, Shanquan can be contacted via phone (305) 232-6005.

Contact Information

Primary practice address
9780 E Indigo St Suite 302 Palmetto Bay FL 33157-5609
Phone: (305) 232-6005
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1255674453
LBN Legal business name Jackson, Shanquan
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2013
Last updated Apr 5th, 2013 - about 11 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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