Jackson, Roger
Jackson, Roger is an sole proprietor health care provider with primary practice located at 171 Noah Ln , La Follette TN 37766-5575. He recently has 6 registered licenses in different health care specialties including Nursing Service Providers / Case Management, Nursing Service Providers / Community Health, Nursing Service Providers / Hospice, Nursing Service Providers / Medical-Surgical, Nursing Service Providers / Nutrition Support, Nursing Service Providers / Home Health. Nursing Service Providers / Home Health is his primary health care specialty. Jackson, Roger can be contacted via phone (423) 912-5097.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Case Management | 163WC0400X | 102279 | Tennessee |
Nursing Service Providers / Community Health | 163WC1500X | 102279 | Tennessee |
Nursing Service Providers / Hospice | 163WH1000X | 102279 | Tennessee |
Nursing Service Providers / Medical-Surgical | 163WM0705X | 102279 | Tennessee |
Nursing Service Providers / Nutrition Support | 163WN1003X | 102279 | Tennessee |
Nursing Service Providers / Home Health | 163WH0200X | 102279 | Tennessee |
Profile Details
NPI number | 1720653629 |
---|---|
LBN Legal business name | Jackson, Roger |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 24th, 2021 |
Last updated | May 24th, 2021 - about 3 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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