Jackson, Rose Louise
Jackson, Rose Louise is an sole proprietor health care provider with primary practice located at 3450 Indiana Ave , Saint Louis MO 63118-3233. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Jackson, Rose Louise can be contacted via phone (314) 249-9765.Contact Information
Primary practice address
3450 Indiana Ave
Saint Louis MO 63118-3233
Phone: (314) 249-9765
Fax: (314) 771-5063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | CC0657115 | Missouri |
Profile Details
| NPI number | 1316122088 |
|---|---|
| LBN Legal business name | Jackson, Rose Louise |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 31st, 2007 |
| Last updated | Jan 9th, 2008 - about 17 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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