Brock-Carter, Jacqueline Renita

Brock-Carter, Jacqueline Renita is an sole proprietor health care provider with primary practice located at 5028 Fable St , Capitol Heights MD 20743-4019. She recently has only one registered license in Eye and Vision Services Providers / Optometric Assistant, which is considered as her primary health care specialty. Brock-Carter, Jacqueline Renita can be contacted via phone (240) 838-1978.

Contact Information

Primary practice address
5028 Fable St Capitol Heights MD 20743-4019
Phone: (240) 838-1978
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometric Assistant 156FX1201X

Profile Details

NPI number 1396078531
LBN Legal business name Brock-Carter, Jacqueline Renita
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2009
Last updated Sep 4th, 2009 - about 17 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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