Jackson, Markus K
Jackson, Markus K is an individual health care provider with primary practice located at 105 E Jefferson Blvd Suite 700, South Bend IN 46601-1922. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jackson, Markus K can be contacted via phone (574) 232-2255.Contact Information
Primary practice address
105 E Jefferson Blvd Suite 700
South Bend IN 46601-1922
Phone: (574) 232-2255
Fax: (574) 287-9377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34004900A | Indiana |
Profile Details
| NPI number | 1518955434 |
|---|---|
| LBN Legal business name | Jackson, Markus K |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518955434 | NPPES |
| Indiana | Other | PVPB106032 | AMERICAN PSYCH SYSTEMS |
| Indiana | Other | 000000368745 | AMERICAN PSYCH SYSTEMS |
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