Jackson, Iree
Jackson, Iree is an individual health care provider with primary practice located at 404 E Craig St , Tallulah LA 71282-3718. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jackson, Iree can be contacted via phone (318) 574-4164.Contact Information
Primary practice address
404 E Craig St
Tallulah LA 71282-3718
Phone: (318) 574-4164
Fax: (318) 574-4164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 823 | Louisiana |
Profile Details
| NPI number | 1275991176 |
|---|---|
| LBN Legal business name | Jackson, Iree |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2016 |
| Last updated | Feb 5th, 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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