Jackson, Chitaqua

Jackson, Chitaqua is an sole proprietor health care provider with primary practice located at 25200 Rockside Rd Apt 423C , Bedford Hts OH 44146-1915. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jackson, Chitaqua can be contacted via phone (412) 225-6763.

Contact Information

Primary practice address
25200 Rockside Rd Apt 423C Bedford Hts OH 44146-1915
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN155941 Ohio

Profile Details

NPI number 1659774438
LBN Legal business name Jackson, Chitaqua
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2014
Last updated Oct 9th, 2024 - about 2 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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