Jackson, Sonia
Jackson, Sonia is an sole proprietor health care provider with primary practice located at 490 Dunlop Ln Bldg 2 , Clarksville TN 37040-5007. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Jackson, Sonia can be contacted via phone (931) 245-8100.Contact Information
Primary practice address
490 Dunlop Ln Bldg 2
Clarksville TN 37040-5007
Phone: (931) 245-8100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 60534 | Tennessee |
Profile Details
| NPI number | 1760879993 |
|---|---|
| LBN Legal business name | Jackson, Sonia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2015 |
| Last updated | Aug 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760879993 | NPPES |
| Tennessee | MEDICAID | Q042787 |
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