Jackson, Edward L
Jackson, Edward L is an individual health care provider with primary practice located at 2900 Welch Rd , Commerce Twp MI 48390-1562. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jackson, Edward L can be contacted via phone (248) 767-7927.Contact Information
Primary practice address
2900 Welch Rd
Commerce Twp MI 48390-1562
Phone: (248) 767-7927
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301016271 | Michigan |
Profile Details
| NPI number | 1043606213 |
|---|---|
| LBN Legal business name | Jackson, Edward L |
| Credentials | PSYD PLLC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2015 |
| Last updated | Sep 10th, 2023 - about 2 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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