Smith, Jessica T
Smith, Jessica T is an sole proprietor health care provider with primary practice located at 1100 Kennesaw Ridge Rd Unit 807, Columbia MO 65202-4864. She recently has 3 registered licenses in different health care specialties including Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Agencies / In Home Supportive Care, Respite Care Facility / Respite Care, Mental Illness, Child. Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities is her primary health care specialty. Smith, Jessica T can be contacted via phone (573) 990-9999.Contact Information
Primary practice address
1100 Kennesaw Ridge Rd Unit 807
Columbia MO 65202-4864
Phone: (573) 990-9999
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities | 385HR2060X | ||
Agencies / In Home Supportive Care | 253Z00000X | ||
Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X |
Profile Details
NPI number | 1912409780 |
---|---|
LBN Legal business name | Smith, Jessica T |
Credentials | DMH DD PROVIDER |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 7th, 2018 |
Last updated | Mar 7th, 2018 - about 7 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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