Jackson, Cassandra Lavette

Jackson, Cassandra Lavette is an individual health care provider with primary practice located at 2806 Lonesome Rd , Albany GA 31721-5641. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Jackson, Cassandra Lavette can be contacted via phone (229) 894-5738.

Contact Information

Primary practice address
2806 Lonesome Rd Albany GA 31721-5641
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1083203269
LBN Legal business name Jackson, Cassandra Lavette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2021
Last updated Jan 13th, 2021 - about 5 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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