Jackson, Shonta

Jackson, Shonta is an sole proprietor health care provider with primary practice located at 8301 Pence Rd Apt B , Charlotte NC 28215-4357. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Jackson, Shonta can be contacted via phone (803) 342-0553.

Contact Information

Primary practice address
8301 Pence Rd Apt B Charlotte NC 28215-4357
Phone: (803) 342-0553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1013511070
LBN Legal business name Jackson, Shonta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2020
Last updated Nov 30th, 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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