Jackson, Theresa
Jackson, Theresa is an individual health care provider with primary practice located at 77 E Great Lakes St Apt 303 , River Rouge MI 48218-1584. She recently has only one registered license in Nursing Service Related Providers / Chore Provider, which is considered as her primary health care specialty. Jackson, Theresa can be contacted via phone (313) 208-4140.Contact Information
Primary practice address
77 E Great Lakes St Apt 303
River Rouge MI 48218-1584
Phone: (313) 208-4140
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Chore Provider | 372500000X | 2383432582 | Michigan |
Profile Details
| NPI number | 1104207083 |
|---|---|
| LBN Legal business name | Jackson, Theresa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2015 |
| Last updated | Jun 16th, 2015 - about 10 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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