Jackson, Demetris
Jackson, Demetris is an individual health care provider with primary practice located at 3406 E Louisiana State Dr , Kenner LA 70065-2524. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Jackson, Demetris can be contacted via phone (504) 380-2792.Contact Information
Primary practice address
3406 E Louisiana State Dr
Kenner LA 70065-2524
Phone: (504) 380-2792
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | Louisiana |
Profile Details
| NPI number | 1699342287 |
|---|---|
| LBN Legal business name | Jackson, Demetris |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2021 |
| Last updated | Jun 10th, 2021 - about 4 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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