Jackson, Katrina M

Jackson, Katrina M is an sole proprietor health care provider with primary practice located at 1725 Shatto Ave , Akron OH 44313-6323. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Jackson, Katrina M can be contacted via phone (330) 396-0131.

Contact Information

Primary practice address
1725 Shatto Ave Akron OH 44313-6323
Phone: (330) 396-0131
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X

Profile Details

NPI number 1154589976
LBN Legal business name Jackson, Katrina M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2008
Last updated May 29th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154589976 NPPES
Ohio MEDICAID 2320125

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