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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 8 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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