Jackson, Debra

Jackson, Debra is an sole proprietor health care provider with primary practice located at 45 Eric Dr , Summersville WV 26651-9525. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Jackson, Debra can be contacted via phone (304) 651-1979.

Contact Information

Primary practice address
45 Eric Dr Summersville WV 26651-9525
Phone: (304) 651-1979
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1366036519
LBN Legal business name Jackson, Debra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2021
Last updated Feb 26th, 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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