Jackson, Linda Carol
Jackson, Linda Carol is an sole proprietor health care provider with primary practice located at 150 Memorial Dr , Kingwood WV 26537. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Jackson, Linda Carol can be contacted via phone (770) 778-1931.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 040928 | Georgia |
Profile Details
| NPI number | 1821181991 |
|---|---|
| LBN Legal business name | Jackson, Linda Carol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | May 22nd, 2019 - about 7 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 | 1821181991 | NPPES |
| Georgia | MEDICAID | 00697606B | |
| Georgia | Other | 6593349 |
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