Jacksland, Susan J

Jacksland, Susan J is an sole proprietor health care provider with primary practice located at 1990 New Haven Avenue Suite 105, Melbourne FL 32904. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Jacksland, Susan J can be contacted via phone (321) 773-1737.

Contact Information

Primary practice address
1990 New Haven Avenue Suite 105 Melbourne FL 32904
Phone: (321) 773-1737
Fax: (321) 773-1737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OT0004353 Florida
Other Service Providers / Specialist 174400000X OT4353 Florida

Profile Details

NPI number 1790803229
LBN Legal business name Jacksland, Susan J
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Nov 10th, 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.

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