Jackson, Concraigretta

Jackson, Concraigretta is an individual health care provider with primary practice located at 21124 Behrendt Ave , Warren MI 48091-2774. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jackson, Concraigretta can be contacted via phone (313) 743-2278.

Contact Information

Primary practice address
21124 Behrendt Ave Warren MI 48091-2774
Phone: (313) 743-2278
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 4703121283 Michigan

Profile Details

NPI number 1932741451
LBN Legal business name Jackson, Concraigretta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2019
Last updated Oct 16th, 2019 - about 7 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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