Jackson, Queen

Jackson, Queen is an individual health care provider with primary practice located at 2100 Comer Ave , Columbus GA 31904-8725. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Jackson, Queen can be contacted via phone (706) 596-5583.

Contact Information

Primary practice address
2100 Comer Ave Columbus GA 31904-8725
Phone: (706) 596-5583
Fax: (706) 596-5589
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1558677013
LBN Legal business name Jackson, Queen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2010
Last updated Aug 23rd, 2010 - about 14 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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