Jackson, Krista Sofia

Jackson, Krista Sofia is an individual health care provider with primary practice located at 410 Franklin St , Waukegan IL 60085-4099. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Jackson, Krista Sofia can be contacted via phone (224) 303-2160.

Contact Information

Primary practice address
410 Franklin St Waukegan IL 60085-4099
Phone: (224) 303-2160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 242006552 Illinois

Profile Details

NPI number 1053085597
LBN Legal business name Jackson, Krista Sofia
Credentials M.S
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2021
Last updated Sep 21st, 2021 - about 5 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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