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:
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Health care specialties

SpecialtyCodeLicense #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 16 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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