Neal, Jacarri
Neal, Jacarri is an sole proprietor health care provider with primary practice located at 287 Independence Blvd, Pembroke Building 2, Suite 322 , Virginia Beach VA 23455. He recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as his primary health care specialty. Neal, Jacarri can be contacted via phone (757) 502-9122.Contact Information
Primary practice address
287 Independence Blvd, Pembroke Building 2, Suite 322
Virginia Beach VA 23455
Phone: (757) 502-9122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X | Virginia |
Profile Details
| NPI number | 1437754660 |
|---|---|
| LBN Legal business name | Neal, Jacarri |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2020 |
| Last updated | Dec 4th, 2020 - about 4 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 | 1437754660 | NPPES |
| Virginia | MEDICAID | 6047852541 |
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