Jackson, Leroy

Jackson, Leroy is an sole proprietor health care provider with primary practice located at 45335 Sierra Hwy , Lancaster CA 93534-1611. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jackson, Leroy can be contacted via phone (661) 949-8599.

Contact Information

Primary practice address
45335 Sierra Hwy Lancaster CA 93534-1611
Phone: (661) 949-8599
Fax: (661) 723-3179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1891900155
LBN Legal business name Jackson, Leroy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2007
Last updated Jul 8th, 2007 - about 19 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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