Jackson, Carol A
Jackson, Carol A is an sole proprietor health care provider with primary practice located at 110 Paseo Del Canon W , Taos NM 87571-6743. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Jackson, Carol A can be contacted via phone (575) 779-6138.Contact Information
Primary practice address
110 Paseo Del Canon W
Taos NM 87571-6743
Phone: (575) 779-6138
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 090906 | New Mexico |
Profile Details
| NPI number | 1376826693 |
|---|---|
| LBN Legal business name | Jackson, Carol A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2011 |
| Last updated | Sep 22nd, 2011 - about 13 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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