Jackson, Roberta Marie

Jackson, Roberta Marie is an individual health care provider with primary practice located at 47 Church St , Philippi WV 26416-1103. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Jackson, Roberta Marie can be contacted via phone (304) 457-4545.

Contact Information

Primary practice address
47 Church St Philippi WV 26416-1103
Phone: (304) 457-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1003418625
LBN Legal business name Jackson, Roberta Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2020
Last updated Nov 9th, 2020 - about 4 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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