Jackson, Ann Marie
Jackson, Ann Marie is an individual health care provider with primary practice located at 1 Medical Center Dr Rm 1200 , Morgantown WV 26506-1200. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Jackson, Ann Marie can be contacted via phone (304) 293-6109.Contact Information
Primary practice address
1 Medical Center Dr Rm 1200
Morgantown WV 26506-1200
Phone: (304) 293-6109
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 4280 | West Virginia |
Profile Details
| NPI number | 1467974253 |
|---|---|
| LBN Legal business name | Jackson, Ann Marie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2017 |
| Last updated | Jul 12th, 2017 - about 9 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 | 1467974253 | NPPES |
| West Virginia | Other | 1841271459 | WV CHIP |
| West Virginia | MEDICAID | 1841271459 | WV CHIP |
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