Jackson, Annieka

Jackson, Annieka is an individual health care provider with primary practice located at 860 Melrose Ave , Bronx NY 10451-4443. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Jackson, Annieka can be contacted via phone (917) 473-6996.

Contact Information

Primary practice address
860 Melrose Ave Bronx NY 10451-4443
Phone: (917) 473-6996
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 722776 New York

Profile Details

NPI number 1851921019
LBN Legal business name Jackson, Annieka
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2020
Last updated Jan 16th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851921019 NPPES
North Dakota MEDICAID JAC-87-8257

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