Jackson, Payton

Jackson, Payton is an sole proprietor health care provider with primary practice located at 445 Ledyard St , Detroit MI 48201-2641. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Jackson, Payton can be contacted via phone (313) 962-9446.

Contact Information

Primary practice address
445 Ledyard St Detroit MI 48201-2641
Phone: (313) 962-9446
Fax: (313) 962-6395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 251S00000X Michigan

Profile Details

NPI number 1609316777
LBN Legal business name Jackson, Payton
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2017
Last updated Mar 8th, 2017 - about 9 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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