Jackson, Robert Earl

Jackson, Robert Earl is an individual health care provider with primary practice located at 17 Wickham Dr , Columbus GA 31907-6328. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Jackson, Robert Earl can be contacted via phone (706) 689-6676.

Contact Information

Primary practice address
17 Wickham Dr Columbus GA 31907-6328
Phone: (706) 689-6676
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 034283667 Georgia

Profile Details

NPI number 1780005496
LBN Legal business name Jackson, Robert Earl
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2013
Last updated Dec 23rd, 2013 - about 12 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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