Brockington, Jasmine Ty'Andra

Brockington, Jasmine Ty'Andra is an sole proprietor health care provider with primary practice located at 2014 S Irby St , Florence SC 29505-3420. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Brockington, Jasmine Ty'Andra can be contacted via phone (843) 292-0401.

Contact Information

Primary practice address
2014 S Irby St Florence SC 29505-3420
Fax: (843) 292-0403
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 1356 South Carolina

Profile Details

NPI number 1649967035
LBN Legal business name Brockington, Jasmine Ty'Andra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2023
Last updated Apr 18th, 2023 - 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.

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