Jackson, Jane E
Jackson, Jane E is an sole proprietor health care provider with primary practice located at 3512 Sandy Ct , Kensington MD 20895-1420. She recently has only one registered license in Behavioral Health & Social Service Providers / Prescribing (Medical), which is considered as her primary health care specialty. Jackson, Jane E can be contacted via phone (301) 466-2562.Contact Information
Primary practice address
3512 Sandy Ct
Kensington MD 20895-1420
Phone: (301) 466-2562
Fax: (301) 949-9666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Prescribing (Medical) | 103TP0016X | D0028973 | Maryland |
Profile Details
| NPI number | 1982811709 |
|---|---|
| LBN Legal business name | Jackson, Jane E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982811709 | NPPES |
| Other | MAMSI MAPSI | 385639 | |
| Other | K1240001 | 385639 | |
| Other | 343BJE | 385639 |
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