Jackson, Carol Anne
Jackson, Carol Anne is an sole proprietor health care provider with primary practice located at 10710 Se 160Th Court Rd , Ocklawaha FL 32179-8906. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Jackson, Carol Anne can be contacted via phone (352) 750-6619.Contact Information
Primary practice address
10710 Se 160Th Court Rd
Ocklawaha FL 32179-8906
Phone: (352) 750-6619
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | FLOTA8013 | Florida |
Profile Details
NPI number | 1386370351 |
---|---|
LBN Legal business name | Jackson, Carol Anne |
Credentials | OTA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 1st, 2022 |
Last updated | Aug 1st, 2022 - about 3 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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