Jackson, Ricky

Jackson, Ricky is an sole proprietor health care provider with primary practice located at 7443 Keynon Cv , Memphis TN 38125-2737. He recently has 2 registered licenses in different health care specialties including Transportation Services / Non-emergency Medical Transport (VAN), Transportation Services / Private Vehicle. Transportation Services / Private Vehicle is his primary health care specialty. Jackson, Ricky can be contacted via phone (919) 559-4876.

Contact Information

Primary practice address
7443 Keynon Cv Memphis TN 38125-2737
Phone: (919) 559-4876
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Transportation Services / Private Vehicle 347C00000X

Profile Details

NPI number 1164161030
LBN Legal business name Jackson, Ricky
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2022
Last updated May 31st, 2022 - about 4 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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