Jackson, Mary Alice

Jackson, Mary Alice is an sole proprietor health care provider with primary practice located at 2325 Cerrillos Rd , Santa Fe NM 87505-3373. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Jackson, Mary Alice can be contacted via phone (505) 438-0010.

Contact Information

Primary practice address
2325 Cerrillos Rd Santa Fe NM 87505-3373
Phone: (505) 438-0010
Fax: (505) 438-6011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1508144965
LBN Legal business name Jackson, Mary Alice
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2011
Last updated Aug 2nd, 2011 - about 13 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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