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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 10 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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