Jackson, Susanne Parkhurst
Jackson, Susanne Parkhurst is an sole proprietor health care provider with primary practice located at 121 S Estes Dr Suite 205-A, Chapel Hill NC 27514-2868. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Jackson, Susanne Parkhurst can be contacted via phone (919) 968-9874.Contact Information
Primary practice address
121 S Estes Dr Suite 205-A
Chapel Hill NC 27514-2868
Phone: (919) 968-9874
Fax: (919) 969-8377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7143 | North Carolina |
Profile Details
| NPI number | 1033260096 |
|---|---|
| LBN Legal business name | Jackson, Susanne Parkhurst |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1033260096 | NPPES |
| North Carolina | Other | 902EF | BCBS PROVIDER |
| North Carolina | MEDICAID | 89902EF | BCBS PROVIDER |
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