Jackson, Irelinde Mackenzie

Jackson, Irelinde Mackenzie is an sole proprietor health care provider with primary practice located at 3280 W 3500 S Ste E , West Valley City UT 84119-2668. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Jackson, Irelinde Mackenzie can be contacted via phone (801) 979-1351.

Contact Information

Primary practice address
3280 W 3500 S Ste E West Valley City UT 84119-2668
Phone: (801) 979-1351
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X Utah

Profile Details

NPI number 1255985859
LBN Legal business name Jackson, Irelinde Mackenzie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2019
Last updated Jul 31st, 2019 - about 5 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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