Jackson, Aundra
Jackson, Aundra is an sole proprietor health care provider with primary practice located at 494 Blue Garden Way , Columbia SC 29223-8052. He recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as his primary health care specialty. Jackson, Aundra can be contacted via phone (803) 271-1462.Contact Information
Primary practice address
494 Blue Garden Way
Columbia SC 29223-8052
Phone: (803) 271-1462
Fax: (267) 633-8881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1518733278 |
|---|---|
| LBN Legal business name | Jackson, Aundra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2023 |
| Last updated | Dec 4th, 2023 - 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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