Jackson, Ateeya
Jackson, Ateeya is an sole proprietor health care provider with primary practice located at 325 Chestnut St Ste 876 , Philadelphia PA 19106-2614. She recently has only one registered license in Nursing Service Providers / Infusion Therapy, which is considered as her primary health care specialty. Jackson, Ateeya can be contacted via phone (215) 929-6116.Contact Information
Primary practice address
325 Chestnut St Ste 876
Philadelphia PA 19106-2614
Phone: (215) 929-6116
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Infusion Therapy | 163WI0500X | RN623432 | Pennsylvania |
Profile Details
| NPI number | 1073279311 |
|---|---|
| LBN Legal business name | Jackson, Ateeya |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 11th, 2021 |
| Last updated | Nov 11th, 2021 - about 4 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 | 1073279311 | NPPES |
| Pennsylvania | MEDICAID | 6957677 |
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