Jackson, Albert

Jackson, Albert is an sole proprietor health care provider with primary practice located at 4001 W Capitol Dr , Milwaukee WI 53216-2530. He recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Agencies / Community/Behavioral Health is his primary health care specialty. Jackson, Albert can be contacted via phone (414) 810-6691.

Contact Information

Primary practice address
4001 W Capitol Dr Milwaukee WI 53216-2530
Phone: (414) 810-6691
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 16862-130 Wisconsin
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 16862-130 Wisconsin

Profile Details

NPI number 1720421795
LBN Legal business name Jackson, Albert
Credentials AODA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2013
Last updated Apr 9th, 2013 - about 13 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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