National Provider Identifier Database

BYRON R JACKSON SR
Driver

A person employed to operate a motor vehicle as a carrier of persons or property.


Contact Information

BYRON R JACKSON SR
661 SAWMILL RD
AMITE CITY, LA70422-6630
Phone: 504-319-8430
Fax:
Website:
Specialty Taxonomy Code
* Driver 172A00000X

* Indicates primary specialty

NPI Profile & details for BYRON R JACKSON SR

NPI Number 1982304887
Credentials
Entity Individual
Enumeration date 03/08/2023
Last updated 03/08/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • LA License #: 005750531
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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