Brock-Carter, Jacqueline Renita
Brock-Carter, Jacqueline Renita is an sole proprietor health care provider with primary practice located at 5028 Fable St , Capitol Heights MD 20743-4019. She recently has only one registered license in Eye and Vision Services Providers / Optometric Assistant, which is considered as her primary health care specialty. Brock-Carter, Jacqueline Renita can be contacted via phone (240) 838-1978.Contact Information
Primary practice address
5028 Fable St
Capitol Heights MD 20743-4019
Phone: (240) 838-1978
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometric Assistant | 156FX1201X |
Profile Details
| NPI number | 1396078531 |
|---|---|
| LBN Legal business name | Brock-Carter, Jacqueline Renita |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 4th, 2009 |
| Last updated | Sep 4th, 2009 - about 15 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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