Jackson, Reginald P

Jackson, Reginald P is an individual health care provider with primary practice located at 4081 Southwick Drive 3Rd Floor, Matteson IL 60443-6044. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Jackson, Reginald P can be contacted via phone (708) 747-2655.

Contact Information

Primary practice address
4081 Southwick Drive 3Rd Floor Matteson IL 60443-6044
Phone: (708) 747-2655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1013530104
LBN Legal business name Jackson, Reginald P
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2020
Last updated May 22nd, 2020 - about 6 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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