Jackson, Randy

Jackson, Randy is an individual health care provider with primary practice located at 9837 E Natal Ave , Mesa AZ 85209-2588. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Jackson, Randy can be contacted via phone (480) 750-7185.

Contact Information

Primary practice address
9837 E Natal Ave Mesa AZ 85209-2588
Phone: (480) 750-7185
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1750807442
LBN Legal business name Jackson, Randy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2017
Last updated Aug 15th, 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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