Walker, Jackie
Walker, Jackie is an sole proprietor health care provider with primary practice located at 1417 Ne Talbott Dr , Grants Pass OR 97526-3544. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Walker, Jackie can be contacted via phone (805) 610-3943.Contact Information
Primary practice address
1417 Ne Talbott Dr
Grants Pass OR 97526-3544
Phone: (805) 610-3943
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 421 | California |
Profile Details
| NPI number | 1730578311 |
|---|---|
| LBN Legal business name | Walker, Jackie |
| Credentials | LM, CPM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2015 |
| Last updated | Jun 2nd, 2020 - about 5 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 | 1730578311 | NPPES |
| California | Other | 421 | CALIFORNIA MEDICAL BOARD |
| California | Other | 10183250 | CALIFORNIA MEDICAL BOARD |
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