Jackson, Laneasze C

Jackson, Laneasze C is an sole proprietor health care provider with primary practice located at 1061 E Park St Apt 7 , Carbondale IL 62901-4031. She recently has 2 registered licenses in different health care specialties including Transportation Services / Taxi, Transportation Services / Non-emergency Medical Transport (VAN). Transportation Services / Non-emergency Medical Transport (VAN) is her primary health care specialty. Jackson, Laneasze C can be contacted via phone (937) 522-1592.

Contact Information

Primary practice address
1061 E Park St Apt 7 Carbondale IL 62901-4031
Phone: (937) 522-1592
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Taxi 344600000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1316782865
LBN Legal business name Jackson, Laneasze C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2024
Last updated Jun 26th, 2024 - about 2 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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