Jackson, Stacy

Jackson, Stacy is an individual health care provider with primary practice located at 1100 H St Nw , Washington DC 20005-5476. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Jackson, Stacy can be contacted via phone (888) 701-3131.

Contact Information

Primary practice address
1100 H St Nw Washington DC 20005-5476
Phone: (888) 701-3131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1720864994
LBN Legal business name Jackson, Stacy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2023
Last updated Sep 5th, 2023 - 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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