Jackson, Darrell

Jackson, Darrell is an sole proprietor health care provider with primary practice located at 357 W Troy St , Kuna ID 83634-5002. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Jackson, Darrell can be contacted via phone (309) 648-5154.

Contact Information

Primary practice address
357 W Troy St Kuna ID 83634-5002
Phone: (309) 648-5154
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1144850249
LBN Legal business name Jackson, Darrell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2020
Last updated Jan 17th, 2020 - about 5 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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