Jackson, Katana

Jackson, Katana is an individual health care provider with primary practice located at 2900 Doolittle Dr , Ellsworth Afb SD 57706-4821. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Katana can be contacted via phone (605) 385-3656.

Contact Information

Primary practice address
2900 Doolittle Dr Ellsworth Afb SD 57706-4821
Phone: (605) 385-3656
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3232 South Dakota

Profile Details

NPI number 1730489527
LBN Legal business name Jackson, Katana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2010
Last updated Jul 25th, 2023 - about 3 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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