Jackson-Smith, Pamela Dawn

Jackson-Smith, Pamela Dawn is an sole proprietor health care provider with primary practice located at 1220 Willis Ave Box 6, Daytona Beach FL 32114-2810. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Jackson-Smith, Pamela Dawn can be contacted via phone (386) 236-1652.

Contact Information

Primary practice address
1220 Willis Ave Box 6 Daytona Beach FL 32114-2810
Phone: (386) 236-1652
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1922279181
LBN Legal business name Jackson-Smith, Pamela Dawn
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2008
Last updated Mar 17th, 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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