Sides, Jackie Marie

Sides, Jackie Marie is an individual health care provider with primary practice located at 165 Holt Garrison Pkwy Ste 595-A , Danville VA 24540-5949. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Sides, Jackie Marie can be contacted via phone (434) 688-0163.

Contact Information

Primary practice address
165 Holt Garrison Pkwy Ste 595-A Danville VA 24540-5949
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 0119003320 Virginia

Profile Details

NPI number 1659085207
LBN Legal business name Sides, Jackie Marie
Credentials OTR/L, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2023
Last updated Jan 9th, 2023 - about 2 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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