Carson, Jacqueline
Carson, Jacqueline is an individual health care provider with primary practice located at 303 Des Plaines Ave Apt 505 , Forest Park IL 60130-1442. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Carson, Jacqueline can be contacted via phone (708) 434-0456.Contact Information
Primary practice address
303 Des Plaines Ave Apt 505
Forest Park IL 60130-1442
Phone: (708) 434-0456
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Health Educator | 174H00000X |
Profile Details
NPI number | 1285165191 |
---|---|
LBN Legal business name | Carson, Jacqueline |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 22nd, 2017 |
Last updated | Mar 22nd, 2017 - about 7 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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