Jackson, Sandra Denise

Jackson, Sandra Denise is an sole proprietor health care provider with primary practice located at 1150 Broad St Ste 4 , Sumter SC 29150-1997. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Jackson, Sandra Denise can be contacted via phone (803) 869-1005.

Contact Information

Primary practice address
1150 Broad St Ste 4 Sumter SC 29150-1997
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X LI-234264 South Carolina

Profile Details

NPI number 1932846649
LBN Legal business name Jackson, Sandra Denise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2022
Last updated May 14th, 2022 - 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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