Jackson, David Max

Jackson, David Max is an sole proprietor health care provider with primary practice located at 81 Peregrine Ct , W Lafayette IN 47906-5073. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Jackson, David Max can be contacted via phone (765) 426-0220.

Contact Information

Primary practice address
81 Peregrine Ct W Lafayette IN 47906-5073
Phone: (765) 426-0220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22002292A Indiana

Profile Details

NPI number 1366544322
LBN Legal business name Jackson, David Max
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2006
Last updated Jul 8th, 2007 - about 18 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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