Jackson, Dercilla

Jackson, Dercilla is an sole proprietor health care provider with primary practice located at 163 Aubreys Ln , Amherst VA 24521-3394. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Jackson, Dercilla can be contacted via phone (434) 826-9138.

Contact Information

Primary practice address
163 Aubreys Ln Amherst VA 24521-3394
Phone: (434) 826-9138
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X T60456749 Virginia

Profile Details

NPI number 1558843284
LBN Legal business name Jackson, Dercilla
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2018
Last updated Aug 29th, 2018 - about 7 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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