Jackson, Debra Marlene
Jackson, Debra Marlene is an sole proprietor health care provider with primary practice located at 1219 Troy Rd , Edwardsville IL 62025-2363. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Jackson, Debra Marlene can be contacted via phone (618) 960-7696.Contact Information
Primary practice address
1219 Troy Rd
Edwardsville IL 62025-2363
Phone: (618) 960-7696
Fax: (130) 921-6271
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 146003388 | Illinois |
Profile Details
| NPI number | 1245282904 |
|---|---|
| LBN Legal business name | Jackson, Debra Marlene |
| Credentials | MS-CCC/SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2006 |
| Last updated | Aug 23rd, 2011 - about 15 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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