Jackel, Lisa Marie
Jackel, Lisa Marie is an sole proprietor health care provider with primary practice located at 514 W Palmetto St , Florence SC 29501-4428. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackel, Lisa Marie can be contacted via phone (843) 319-2310.Contact Information
Primary practice address
514 W Palmetto St
Florence SC 29501-4428
Phone: (843) 319-2310
Fax: (855) 328-1383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 615 | South Carolina |
Profile Details
| NPI number | 1841340239 |
|---|---|
| LBN Legal business name | Jackel, Lisa Marie |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| Last updated | May 23rd, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841340239 | NPPES |
| South Carolina | MEDICAID | PSO211 |
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