Jackson, Michelle
Jackson, Michelle is an individual health care provider with primary practice located at 9761 Ravinia Ln Apt 1S , Orland Park IL 60462-6571. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Jackson, Michelle can be contacted via phone (219) 252-7938.Contact Information
Primary practice address
9761 Ravinia Ln Apt 1S
Orland Park IL 60462-6571
Phone: (219) 252-7938
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1427819085 |
|---|---|
| LBN Legal business name | Jackson, Michelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2024 |
| Last updated | Jan 22nd, 2024 - about 2 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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