Jackson, Terisa Marie

Jackson, Terisa Marie is an sole proprietor health care provider with primary practice located at 711 Kupulau Dr , Kihei HI 96753-9349. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Jackson, Terisa Marie can be contacted via phone (206) 393-2566.

Contact Information

Primary practice address
711 Kupulau Dr Kihei HI 96753-9349
Fax: (206) 319-4603
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X ND-249 Hawaii

Profile Details

NPI number 1952660201
LBN Legal business name Jackson, Terisa Marie
Credentials N.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2012
Last updated Mar 26th, 2014 - about 10 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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