Jackson, Wanda Elizabeth
Jackson, Wanda Elizabeth is an sole proprietor health care provider with primary practice located at 2018 Rock Spring Rd A6, Forest Hill MD 21050-2631. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jackson, Wanda Elizabeth can be contacted via phone (410) 838-2493.Contact Information
Primary practice address
2018 Rock Spring Rd A6
Forest Hill MD 21050-2631
Phone: (410) 838-2493
Fax: (410) 838-2547
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LGP3349 | Maryland |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Maryland |
Profile Details
| NPI number | 1497069900 |
|---|---|
| LBN Legal business name | Jackson, Wanda Elizabeth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2010 |
| Last updated | Jul 27th, 2010 - about 14 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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