Jackson, Dewayne

Jackson, Dewayne is an sole proprietor health care provider with primary practice located at 4500 S Saginaw St , Flint MI 48507-2676. He recently has only one registered license in Other Service Providers / Health Educator, which is considered as his primary health care specialty. Jackson, Dewayne can be contacted via phone (810) 265-7121.

Contact Information

Primary practice address
4500 S Saginaw St Flint MI 48507-2676
Phone: (810) 265-7121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X T192947 Michigan

Profile Details

NPI number 1447792668
LBN Legal business name Jackson, Dewayne
Credentials PERSONAL TRAINER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2016
Last updated Nov 7th, 2016 - about 10 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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