Jackson, Jacquetta
Jackson, Jacquetta is an sole proprietor health care provider with primary practice located at 1021 Telluride Dr , Arlington TX 76001-8529. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as her primary health care specialty. Jackson, Jacquetta can be contacted via phone (214) 227-2457.Contact Information
Primary practice address
1021 Telluride Dr
Arlington TX 76001-8529
Phone: (214) 227-2457
Fax: (214) 764-0880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X | SA00703 | Texas |
Profile Details
| NPI number | 1659852440 |
|---|---|
| LBN Legal business name | Jackson, Jacquetta |
| Credentials | LSA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2018 |
| Last updated | Aug 9th, 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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