Jackson, Donovan
Jackson, Donovan is an individual health care provider with primary practice located at 115 N Park Trl Ste 123 , Stockbridge GA 30281-7373. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Jackson, Donovan can be contacted via phone (888) 509-6368.Contact Information
Primary practice address
115 N Park Trl Ste 123
Stockbridge GA 30281-7373
Phone: (888) 509-6368
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1821637695 |
|---|---|
| LBN Legal business name | Jackson, Donovan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2019 |
| Last updated | Dec 27th, 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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