Carroll, Amy Jackson
Carroll, Amy Jackson is an individual health care provider with primary practice located at 2044 Energy Dr , Apex NC 27502-8722. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Carroll, Amy Jackson can be contacted via phone (919) 780-1551.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 7934 | Arizona |
| Chiropractic Providers / Chiropractor | 111N00000X | 3967 | North Carolina |
Profile Details
| NPI number | 1467631044 |
|---|---|
| LBN Legal business name | Carroll, Amy Jackson |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2007 |
| Last updated | Dec 29th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467631044 | NPPES |
| North Carolina | Other | 2340526 | MEDICARE GROUP |
| North Carolina | MEDICAID | 5912257 | MEDICARE GROUP |
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