Jackson, Jacqueline
Jackson, Jacqueline is an sole proprietor health care provider with primary practice located at 10239 Prince Dr , Saint Louis MO 63136-5932. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Jackson, Jacqueline can be contacted via phone (314) 401-7049.Contact Information
Primary practice address
10239 Prince Dr
Saint Louis MO 63136-5932
Phone: (314) 401-7049
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | Missouri |
Profile Details
| NPI number | 1255750873 |
|---|---|
| LBN Legal business name | Jackson, Jacqueline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2014 |
| Last updated | Apr 10th, 2014 - about 11 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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