Harvey-Jackson, Ebony

Harvey-Jackson, Ebony is an individual health care provider with primary practice located at 19323 Stansbury St , Detroit MI 48235-1733. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Health Information, Behavioral Health & Social Service Providers / Clinical. Technologists, Technicians & Other Technical Service Providers / Technician, Health Information is her primary health care specialty. Harvey-Jackson, Ebony can be contacted via phone (313) 215-6395.

Contact Information

Primary practice address
19323 Stansbury St Detroit MI 48235-1733
Phone: (313) 215-6395
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Health Information 247000000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801085319 Michigan

Profile Details

NPI number 1164820163
LBN Legal business name Harvey-Jackson, Ebony
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2014
Last updated Apr 2nd, 2015 - about 11 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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