Jackson, Michelle Denise

Jackson, Michelle Denise is an individual health care provider with primary practice located at 1330 W Ramsey St Ste 100 , Banning CA 92220-4477. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Jackson, Michelle Denise can be contacted via phone (951) 849-7142.

Contact Information

Primary practice address
1330 W Ramsey St Ste 100 Banning CA 92220-4477
Phone: (951) 849-7142
Fax: (951) 849-1762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X PT 30277 California

Profile Details

NPI number 1033460761
LBN Legal business name Jackson, Michelle Denise
Credentials LPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2012
Last updated Sep 20th, 2012 - about 14 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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