Jackson, Charlyn

Jackson, Charlyn is an individual health care provider with primary practice located at 13600 Archdale St , Detroit MI 48227-1394. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jackson, Charlyn can be contacted via phone (313) 485-2540.

Contact Information

Primary practice address
13600 Archdale St Detroit MI 48227-1394
Phone: (313) 485-2540
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 4703111484 Michigan

Profile Details

NPI number 1346615721
LBN Legal business name Jackson, Charlyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2015
Last updated Dec 10th, 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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