Jackson, Jeanine
Jackson, Jeanine is an sole proprietor health care provider with primary practice located at 497 Belleville Ave , New Bedford MA 02746-5432. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jackson, Jeanine can be contacted via phone (508) 542-3617.Contact Information
Primary practice address
497 Belleville Ave
New Bedford MA 02746-5432
Phone: (508) 542-3617
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1780037374 |
|---|---|
| LBN Legal business name | Jackson, Jeanine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2016 |
| Last updated | Jul 19th, 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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