Jackson, Carol D
Jackson, Carol D is an sole proprietor health care provider with primary practice located at 614 N Gilbert St , Danville IL 61832-3940. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Jackson, Carol D can be contacted via phone (217) 442-8790.Contact Information
Primary practice address
614 N Gilbert St
Danville IL 61832-3940
Phone: (217) 442-8790
Fax: (217) 442-8780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 14764 | Maryland |
| Dental Providers / Dentist | 122300000X | 019023180 | Illinois |
Profile Details
| NPI number | 1649496910 |
|---|---|
| LBN Legal business name | Jackson, Carol D |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Sep 19th, 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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