Jackson, Carol Bowser

Jackson, Carol Bowser is an sole proprietor health care provider with primary practice located at 9501 Farrell Rd Bldg 815,Rm 139, Fort Belvoir VA 22060-5901. She recently has only one registered license in Nursing Service Providers / Occupational Health, which is considered as her primary health care specialty. Jackson, Carol Bowser can be contacted via phone (703) 805-0498.

Contact Information

Primary practice address
9501 Farrell Rd Bldg 815,Rm 139 Fort Belvoir VA 22060-5901
Phone: (703) 805-0498
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Occupational Health 163WX0106X R103314 Maryland

Profile Details

NPI number 1063582864
LBN Legal business name Jackson, Carol Bowser
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063582864 NPPES
Maryland Other R103314 NURSING

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