Jackson, Melissa S

Jackson, Melissa S is an individual health care provider with primary practice located at 970 N Kalaheo Ave Suite A102, Kailua HI 96734-1801. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Jackson, Melissa S can be contacted via phone (808) 254-6484.

Contact Information

Primary practice address
970 N Kalaheo Ave Suite A102 Kailua HI 96734-1801
Phone: (808) 254-6484
Fax: (808) 254-6427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1275662603
LBN Legal business name Jackson, Melissa S
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275662603 NPPES
Hawaii Other HMSA QUEST 0000596411

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