Jackosn, Linda Teresa

Jackosn, Linda Teresa is an individual health care provider with primary practice located at 675 N Matthews Rd , Lake City SC 29560-7027. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jackosn, Linda Teresa can be contacted via phone (843) 394-7600.

Contact Information

Primary practice address
675 N Matthews Rd Lake City SC 29560-7027
Phone: (843) 394-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1770927386
LBN Legal business name Jackosn, Linda Teresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2013
Last updated Apr 25th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770927386 NPPES
South Carolina Other 3337 MEDICARE
South Carolina MEDICAID 376421 MEDICARE

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