Jackson, Charlene Rene

Jackson, Charlene Rene is an individual health care provider with primary practice located at 18029 Stephens Dr , Eastpointe MI 48021-1810. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Jackson, Charlene Rene can be contacted via phone (586) 209-9161.

Contact Information

Primary practice address
18029 Stephens Dr Eastpointe MI 48021-1810
Phone: (586) 209-9161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1487105458
LBN Legal business name Jackson, Charlene Rene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2016
Last updated Oct 14th, 2016 - 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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