Jackson, Olivia

Jackson, Olivia is an individual health care provider with primary practice located at 305 W 12Th Ave , Columbus OH 43210-1267. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Jackson, Olivia can be contacted via phone (614) 688-3763.

Contact Information

Primary practice address
305 W 12Th Ave Columbus OH 43210-1267
Phone: (614) 688-3763
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30.027468 Ohio

Profile Details

NPI number 1811745532
LBN Legal business name Jackson, Olivia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2024
Last updated May 8th, 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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