Jackson, Reginald D

Jackson, Reginald D is an individual health care provider with primary practice located at 515 S College Rd , Lafayette LA 70503-3352. He recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as his primary health care specialty. Jackson, Reginald D can be contacted via phone (337) 269-1165.

Contact Information

Primary practice address
515 S College Rd Lafayette LA 70503-3352
Phone: (337) 269-1165
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Attendant Care Provider 3747A0650X

Profile Details

NPI number 1558041491
LBN Legal business name Jackson, Reginald D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2023
Last updated Jul 24th, 2023 - about 2 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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