Jackson, Lori
Jackson, Lori is an sole proprietor health care provider with primary practice located at 3103 S Dartmouth St , Detroit MI 48217-1020. She recently has 2 registered licenses in different health care specialties including Transportation Services / Private Vehicle, Nursing Service Related Providers / Chore Provider. Nursing Service Related Providers / Chore Provider is her primary health care specialty. Jackson, Lori can be contacted via phone (313) 739-4339.Contact Information
Primary practice address
3103 S Dartmouth St
Detroit MI 48217-1020
Phone: (313) 739-4339
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Private Vehicle | 347C00000X | J250546227628 | Michigan |
| Nursing Service Related Providers / Chore Provider | 372500000X |
Profile Details
| NPI number | 1407088248 |
|---|---|
| LBN Legal business name | Jackson, Lori |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2009 |
| Last updated | Aug 12th, 2009 - about 17 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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