Jackson-Hodge, Kim Inez

Jackson-Hodge, Kim Inez is an sole proprietor health care provider with primary practice located at 350 Walters Rd , Suisun City CA 94585-3043. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Jackson-Hodge, Kim Inez can be contacted via phone (707) 639-4982.

Contact Information

Primary practice address
350 Walters Rd Suisun City CA 94585-3043
Phone: (707) 639-4982
Fax: (707) 639-4983
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 40857 California

Profile Details

NPI number 1518446244
LBN Legal business name Jackson-Hodge, Kim Inez
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2018
Last updated Aug 13th, 2018 - about 6 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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