Jackson, Chad

Jackson, Chad is an individual health care provider with primary practice located at 2021 40Th Ave , Tuscaloosa AL 35401-3930. He recently has 5 registered licenses in different health care specialties including Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Nurse's Aide. Nursing Service Related Providers / Home Health Aide is his primary health care specialty. Jackson, Chad can be contacted via phone (205) 523-7429.

Contact Information

Primary practice address
2021 40Th Ave Tuscaloosa AL 35401-3930
Phone: (205) 523-7429
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X Alabama
Nursing Service Related Providers / Adult Companion 372600000X Alabama
Nursing Service Related Providers / Personal Care Attendant 3747P1801X Alabama
Nursing Service Related Providers / Home Health Aide 374U00000X Alabama
Nursing Service Related Providers / Nurse's Aide 376K00000X Alabama

Profile Details

NPI number 1255706438
LBN Legal business name Jackson, Chad
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2015
Last updated Dec 14th, 2015 - about 10 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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