Jackson, Candace
Jackson, Candace is an sole proprietor health care provider with primary practice located at 106 Eva Dr , Pearl MS 39208-5845. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Jackson, Candace can be contacted via phone (601) 497-5345.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Health Educator | 174H00000X |
Profile Details
| NPI number | 1932809027 |
|---|---|
| LBN Legal business name | Jackson, Candace |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2023 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932809027 | NPPES |
| Other | 568946544 | BCBS | |
| Other | 5874 | BCBS | |
| MEDICAID | 236 | BCBS |
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