Jackson, Tommie S.
Jackson, Tommie S. is an individual health care provider with primary practice located at 453 W End Blvd , Winston Salem NC 27101-1120. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jackson, Tommie S. can be contacted via phone (336) 750-0130.Contact Information
Primary practice address
453 W End Blvd
Winston Salem NC 27101-1120
Phone: (336) 750-0130
Fax: (336) 750-0073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 925 | North Carolina |
Profile Details
| NPI number | 1093754673 |
|---|---|
| LBN Legal business name | Jackson, Tommie S. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Jul 8th, 2009 - 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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