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:
Health care specialties
Specialty | Code | License # | 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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