Jackson, Fabian

Jackson, Fabian is an individual health care provider with primary practice located at 3173 Washington Ave , Baton Rouge LA 70802-2178. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Jackson, Fabian can be contacted via phone (225) 778-7678.

Contact Information

Primary practice address
3173 Washington Ave Baton Rouge LA 70802-2178
Fax: (225) 341-6825
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1336784412
LBN Legal business name Jackson, Fabian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2019
Last updated Nov 12th, 2019 - about 6 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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