Jackson, Marsha

Jackson, Marsha is an sole proprietor health care provider with primary practice located at 2640 Forest Hill Blvd , West Palm Beach FL 33406-5931. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Jackson, Marsha can be contacted via phone (561) 616-8411.

Contact Information

Primary practice address
2640 Forest Hill Blvd West Palm Beach FL 33406-5931
Phone: (561) 616-8411
Fax: (561) 616-8412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1386197978
LBN Legal business name Jackson, Marsha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2016
Last updated Apr 12th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386197978 NPPES
Florida MEDICAID 1386197978

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