Jackson Teer, Lacey

Jackson Teer, Lacey is an sole proprietor health care provider with primary practice located at 4214 Texas Blvd , Texarkana TX 75503-3013. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Jackson Teer, Lacey can be contacted via phone (903) 793-0691.

Contact Information

Primary practice address
4214 Texas Blvd Texarkana TX 75503-3013
Fax: (903) 794-2046
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 80404 Texas

Profile Details

NPI number 1386958981
LBN Legal business name Jackson Teer, Lacey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2010
Last updated Aug 6th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386958981 NPPES
Texas Other 80404 STATE COMMISSION OF EXAMINERS FITTING & DISPENSING HEARING AIDS

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