Jackerson, Amelia Beth
Jackerson, Amelia Beth is an sole proprietor health care provider with primary practice located at 6991 Balboa Ave , San Diego CA 92111-3447. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Jackerson, Amelia Beth can be contacted via phone (858) 496-8232.Contact Information
Primary practice address
6991 Balboa Ave
San Diego CA 92111-3447
Phone: (858) 496-8232
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 12176 | California |
Profile Details
| NPI number | 1073838124 |
|---|---|
| LBN Legal business name | Jackerson, Amelia Beth |
| Credentials | M.ED, MA, OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 1st, 2010 |
| Last updated | Oct 1st, 2012 - about 14 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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