Jackson, Terry

Jackson, Terry is an sole proprietor health care provider with primary practice located at 6605 S 18Th Dr , Phoenix AZ 85041-5841. He recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as his primary health care specialty. Jackson, Terry can be contacted via phone (989) 714-8157.

Contact Information

Primary practice address
6605 S 18Th Dr Phoenix AZ 85041-5841
Phone: (989) 714-8157
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X 5167765 Arizona

Profile Details

NPI number 1235569849
LBN Legal business name Jackson, Terry
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2013
Last updated Nov 18th, 2013 - about 12 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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