Boyd Jackson, Dorothenia Mary

Boyd Jackson, Dorothenia Mary is an individual health care provider with primary practice located at 2401 Hartman St Bldg F , Richmond VA 23223-2458. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Boyd Jackson, Dorothenia Mary can be contacted via phone (804) 343-6500.

Contact Information

Primary practice address
2401 Hartman St Bldg F Richmond VA 23223-2458
Fax: (804) 343-6515
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1538669320
LBN Legal business name Boyd Jackson, Dorothenia Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2018
Last updated Feb 18th, 2018 - about 8 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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