Jackson, Traci
Jackson, Traci is an sole proprietor health care provider with primary practice located at 38365 North Ln , Willoughby OH 44094-7415. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Jackson, Traci can be contacted via phone (440) 749-6343.Contact Information
Primary practice address
38365 North Ln
Willoughby OH 44094-7415
Phone: (440) 749-6343
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1295323897 |
|---|---|
| LBN Legal business name | Jackson, Traci |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2021 |
| Last updated | Jan 8th, 2021 - about 3 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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