Jackson, Michael

Jackson, Michael is an sole proprietor health care provider with primary practice located at 252 Charlene Dr , Byram MS 39272-6418. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Jackson, Michael can be contacted via phone (601) 278-2435.

Contact Information

Primary practice address
252 Charlene Dr Byram MS 39272-6418
Phone: (601) 278-2435
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X 800105022 Mississippi

Profile Details

NPI number 1104428473
LBN Legal business name Jackson, Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2020
Last updated Nov 12th, 2020 - about 6 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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