Jackson, Porshai Juanice

Jackson, Porshai Juanice is an individual health care provider with primary practice located at 6341 Derryfield Dr , Charlotte NC 28213-5532. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as her primary health care specialty. Jackson, Porshai Juanice can be contacted via phone (980) 230-8248.

Contact Information

Primary practice address
6341 Derryfield Dr Charlotte NC 28213-5532
Phone: (980) 230-8248
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X

Profile Details

NPI number 1356990022
LBN Legal business name Jackson, Porshai Juanice
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2019
Last updated Sep 5th, 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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