Jackson, Terrance Lamont
Jackson, Terrance Lamont is an sole proprietor health care provider with primary practice located at 2155 Georgetown Rd Ne , Canton OH 44704-2257. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Managed Care Organizations / Point of Service. Managed Care Organizations / Point of Service is his primary health care specialty. Jackson, Terrance Lamont can be contacted via phone (816) 377-7225.Contact Information
Primary practice address
2155 Georgetown Rd Ne
Canton OH 44704-2257
Phone: (816) 377-7225
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Managed Care Organizations / Point of Service | 305S00000X |
Profile Details
| NPI number | 1467134544 |
|---|---|
| LBN Legal business name | Jackson, Terrance Lamont |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2023 |
| Last updated | Aug 7th, 2023 - about 2 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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