Jackson, Theresa Michelle

Jackson, Theresa Michelle is an individual health care provider with primary practice located at 337 E 197Th St , Euclid OH 44119-1121. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Jackson, Theresa Michelle can be contacted via phone (216) 738-1774.

Contact Information

Primary practice address
337 E 197Th St Euclid OH 44119-1121
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN.310131 Ohio

Profile Details

NPI number 1083947592
LBN Legal business name Jackson, Theresa Michelle
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2009
Last updated Sep 15th, 2009 - about 15 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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