Jackson, Tonya Marie
Jackson, Tonya Marie is an sole proprietor health care provider with primary practice located at G3169 Beecher Rd , Flint MI 48532-3611. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Jackson, Tonya Marie can be contacted via phone (586) 501-3070.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1891032355 |
|---|---|
| LBN Legal business name | Jackson, Tonya Marie |
| Credentials | B.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2013 |
| Last updated | Mar 31st, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891032355 | NPPES |
| Michigan | MEDICAID | 171M00000X |
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