Jackson, Antoinette D

Jackson, Antoinette D is an individual health care provider with primary practice located at 222 E Main St Ste 117 , Barstow CA 92311-2365. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Jackson, Antoinette D can be contacted via phone (760) 255-1496.

Contact Information

Primary practice address
222 E Main St Ste 117 Barstow CA 92311-2365
Phone: (760) 255-1496
Fax: (760) 255-2542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1871840280
LBN Legal business name Jackson, Antoinette D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2012
Last updated Nov 20th, 2020 - about 6 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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