Jackson, Phelton Gerrard
Jackson, Phelton Gerrard is an sole proprietor health care provider with primary practice located at 4417 Oasis Plains Ave , North Las Vegas NV 89085-2334. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Jackson, Phelton Gerrard can be contacted via phone (702) 688-1407.Contact Information
Primary practice address
4417 Oasis Plains Ave
North Las Vegas NV 89085-2334
Phone: (702) 688-1407
Fax: (702) 688-1407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1649538836 |
|---|---|
| LBN Legal business name | Jackson, Phelton Gerrard |
| Credentials | N/A |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2012 |
| Last updated | Apr 25th, 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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